| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,218 |
10,536 |
$749K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,158 |
10,983 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,174 |
3,013 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,134 |
3,114 |
$287K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,814 |
2,726 |
$244K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,128 |
2,118 |
$194K |
| 99188 |
|
5,503 |
5,461 |
$148K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,400 |
14,159 |
$135K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,645 |
10,997 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
774 |
768 |
$76K |
| 99173 |
|
3,118 |
3,101 |
$69K |
| 90461 |
|
3,485 |
3,446 |
$49K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
305 |
299 |
$43K |
| 96127 |
|
3,549 |
2,736 |
$28K |
| 92551 |
|
2,853 |
2,832 |
$27K |
| 94760 |
|
6,323 |
5,785 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
225 |
$10K |
| 99381 |
|
55 |
54 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
291 |
$4K |
| 99384 |
|
28 |
28 |
$3K |
| 99383 |
|
27 |
27 |
$3K |
| 92583 |
|
25 |
25 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$198.38 |
| 99000 |
|
833 |
812 |
$11.00 |
| 90698 |
|
1,412 |
1,388 |
$0.00 |
| 90686 |
|
4,236 |
4,182 |
$0.00 |
| 90677 |
|
308 |
300 |
$0.00 |
| 90744 |
|
174 |
171 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90732 |
|
40 |
39 |
$0.00 |
| 90670 |
|
1,012 |
997 |
$0.00 |
| 90734 |
|
53 |
53 |
$0.00 |
| 90633 |
|
117 |
116 |
$0.00 |
| 90687 |
|
236 |
235 |
$0.00 |
| 90681 |
|
205 |
202 |
$0.00 |