| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,209 |
4,969 |
$178K |
| 87428 |
|
868 |
785 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
710 |
639 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,439 |
1,739 |
$30K |
| 99173 |
|
840 |
790 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,408 |
1,269 |
$19K |
| 92588 |
|
501 |
461 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
317 |
$17K |
| 90461 |
|
599 |
508 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
173 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
426 |
378 |
$8K |
| 92587 |
|
255 |
246 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
102 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
122 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
384 |
186 |
$5K |
| 96160 |
|
1,585 |
861 |
$3K |
| 90686 |
|
447 |
434 |
$1K |
| 87807 |
|
96 |
85 |
$903.61 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$889.20 |
| 96127 |
|
264 |
200 |
$623.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
21 |
$540.60 |
| 99441 |
|
22 |
19 |
$266.76 |
| 96161 |
|
59 |
41 |
$96.52 |
| 81002 |
|
153 |
128 |
$61.77 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,657 |
1,599 |
$48.15 |
| 3008F |
|
893 |
873 |
$0.08 |
| 2014F |
|
237 |
234 |
$0.07 |
| 90723 |
|
29 |
25 |
$0.01 |
| 90656 |
|
33 |
32 |
$0.01 |
| 90670 |
|
28 |
24 |
$0.00 |
| 90672 |
|
29 |
28 |
$0.00 |
| 90671 |
|
44 |
42 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 94760 |
|
37 |
31 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |