| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,096 |
2,011 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
270 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
914 |
717 |
$24K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,013 |
1,004 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
418 |
382 |
$4K |
| 99050 |
|
236 |
229 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
74 |
74 |
$3K |
| 96127 |
|
208 |
205 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 99051 |
|
88 |
86 |
$1K |
| 90461 |
|
51 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
65 |
$986.49 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
74 |
$941.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$646.35 |
| 0071A |
|
14 |
14 |
$642.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$515.25 |