| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,867 |
1,631 |
$122K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
673 |
661 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,124 |
1,114 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,021 |
1,010 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
121 |
110 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$4K |
| 99173 |
|
359 |
359 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
173 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
96 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
69 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
74 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
17 |
$1K |
| 87428 |
|
25 |
25 |
$1K |
| 81002 |
|
245 |
242 |
$561.52 |
| 0071A |
|
13 |
13 |
$387.61 |
| 83655 |
|
26 |
26 |
$337.94 |
| 96127 |
|
31 |
31 |
$325.61 |
| 90686 |
|
44 |
44 |
$285.00 |
| 87807 |
|
14 |
14 |
$163.80 |
| 94760 |
|
31 |
30 |
$64.20 |
| 96160 |
|
28 |
28 |
$37.72 |
| 85018 |
|
14 |
14 |
$35.70 |
| 91307 |
|
13 |
13 |
$0.13 |