| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
342 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
307 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
246 |
246 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
60 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
58 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
429 |
426 |
$4K |
| 90461 |
|
114 |
114 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
326 |
324 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
57 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
77 |
77 |
$790.79 |
| 99051 |
|
39 |
39 |
$645.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$596.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$490.80 |
| 92551 |
|
39 |
39 |
$413.63 |
| 85018 |
|
51 |
51 |
$108.48 |
| 87081 |
|
13 |
13 |
$92.34 |
| 85027 |
|
13 |
13 |
$88.38 |
| 99177 |
|
13 |
13 |
$48.36 |