| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,475 |
6,755 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,765 |
4,406 |
$344K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
821 |
797 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
457 |
439 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,068 |
1,936 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
88 |
$6K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
707 |
706 |
$5K |
| 90686 |
|
532 |
520 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
49 |
$3K |
| 90688 |
|
337 |
326 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
142 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$435.84 |
| 92551 |
|
69 |
65 |
$372.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
39 |
$298.76 |
| 80305 |
|
26 |
24 |
$287.40 |
| 90656 |
|
26 |
26 |
$242.64 |
| 99188 |
|
27 |
25 |
$171.62 |
| 80061 |
Lipid panel |
12 |
12 |
$158.36 |
| 99173 |
|
68 |
66 |
$62.13 |
| 90461 |
|
14 |
12 |
$13.96 |
| X5622 |
|
229 |
226 |
$0.00 |