| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,353 |
16,484 |
$878K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,593 |
1,592 |
$107K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,762 |
9,456 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,470 |
6,460 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,833 |
1,773 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,298 |
1,298 |
$92K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,417 |
1,404 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
763 |
763 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,508 |
2,505 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
515 |
512 |
$40K |
| 99188 |
|
1,175 |
1,175 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,182 |
2,161 |
$27K |
| 96127 |
|
2,485 |
2,458 |
$26K |
| 99173 |
|
1,181 |
1,181 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
246 |
244 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
578 |
571 |
$13K |
| 87070 |
|
1,473 |
1,462 |
$12K |
| 92551 |
|
1,032 |
1,032 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
130 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
827 |
826 |
$6K |
| 99441 |
|
260 |
255 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
250 |
248 |
$2K |
| 90473 |
|
93 |
93 |
$2K |
| 99442 |
|
51 |
49 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
832 |
464 |
$879.35 |
| 0071A |
|
12 |
12 |
$458.70 |
| ATP03 |
|
74 |
73 |
$452.10 |
| 94760 |
|
57 |
56 |
$136.62 |
| 80061 |
Lipid panel |
28 |
28 |
$118.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$99.96 |
| 99177 |
|
41 |
41 |
$85.56 |
| 81000 |
|
13 |
13 |
$42.51 |
| 90633 |
|
89 |
89 |
$0.00 |
| 90685 |
|
49 |
49 |
$0.00 |
| 90670 |
|
225 |
225 |
$0.00 |
| 90672 |
|
28 |
28 |
$0.00 |
| 90686 |
|
2,661 |
2,661 |
$0.00 |
| 90698 |
|
310 |
310 |
$0.00 |
| 90688 |
|
374 |
374 |
$0.00 |
| 99000 |
|
54 |
54 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |