| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,112 |
31,441 |
$1.68M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,441 |
20,418 |
$479K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,253 |
5,250 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,002 |
4,996 |
$355K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,407 |
4,167 |
$324K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
26,252 |
25,681 |
$240K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,900 |
21,872 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,103 |
3,102 |
$225K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,509 |
3,426 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,812 |
2,714 |
$177K |
| 90461 |
|
5,627 |
5,621 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,560 |
4,458 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,763 |
1,516 |
$38K |
| 99173 |
|
763 |
762 |
$17K |
| 99051 |
|
404 |
399 |
$7K |
| 0071A |
|
136 |
134 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
129 |
$6K |
| 92583 |
|
120 |
118 |
$5K |
| 0072A |
|
112 |
112 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
115 |
112 |
$3K |
| 92553 |
|
55 |
54 |
$2K |
| 83655 |
|
135 |
135 |
$2K |
| 99050 |
|
136 |
135 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 87807 |
|
98 |
97 |
$1K |
| 99188 |
|
41 |
41 |
$1K |
| 99442 |
|
41 |
38 |
$840.73 |
| 90480 |
|
12 |
12 |
$550.44 |
| 99441 |
|
32 |
31 |
$344.64 |
| 82465 |
|
50 |
50 |
$203.17 |
| 85018 |
|
28 |
28 |
$68.32 |
| 94760 |
|
14 |
13 |
$32.89 |
| 90670 |
|
1,913 |
1,913 |
$0.00 |
| 90633 |
|
825 |
825 |
$0.00 |
| 90685 |
|
369 |
369 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90734 |
|
137 |
137 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90680 |
|
727 |
726 |
$0.00 |
| 36416 |
|
607 |
604 |
$0.00 |
| 90686 |
|
7,414 |
7,407 |
$0.00 |
| 90698 |
|
1,732 |
1,731 |
$0.00 |
| 99000 |
|
890 |
882 |
$0.00 |
| 90651 |
|
334 |
334 |
$0.00 |
| 90656 |
|
549 |
548 |
$0.00 |
| 90677 |
|
102 |
101 |
$0.00 |
| 90744 |
|
104 |
104 |
$0.00 |
| 90723 |
|
18 |
18 |
$0.00 |
| 91307 |
|
372 |
353 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |