| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,341 |
5,701 |
$442K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,620 |
1,620 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,303 |
1,263 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,230 |
3,217 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,075 |
1,075 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,095 |
1,095 |
$102K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,154 |
4,149 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
401 |
399 |
$35K |
| 92583 |
|
658 |
657 |
$22K |
| 99173 |
|
860 |
860 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
321 |
318 |
$21K |
| 90461 |
|
622 |
621 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,084 |
1,084 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
784 |
768 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
510 |
509 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
317 |
306 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
123 |
120 |
$7K |
| 85018 |
|
1,152 |
1,145 |
$3K |
| 92552 |
|
115 |
115 |
$3K |
| 92551 |
|
191 |
191 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
74 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 0072A |
|
14 |
14 |
$520.00 |
| 87807 |
|
17 |
17 |
$230.86 |
| 36416 |
|
12 |
12 |
$0.00 |