| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,899 |
5,591 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,397 |
2,389 |
$52K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,782 |
4,752 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,605 |
2,589 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
430 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
491 |
485 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
421 |
421 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
184 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
374 |
372 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
429 |
425 |
$5K |
| 92551 |
|
312 |
311 |
$3K |
| 99173 |
|
146 |
145 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$2K |
| 96127 |
|
1,404 |
1,400 |
$563.03 |
| 81002 |
|
156 |
154 |
$400.21 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
17 |
$375.50 |
| 99051 |
|
21 |
20 |
$345.28 |
| 85018 |
|
140 |
140 |
$286.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$186.96 |
| 94760 |
|
47 |
44 |
$76.80 |
| 96161 |
|
228 |
224 |
$76.60 |
| 90661 |
|
91 |
91 |
$65.97 |
| 90686 |
|
91 |
87 |
$0.01 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |