| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,812 |
1,765 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,097 |
1,066 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,186 |
1,112 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
370 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
344 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
280 |
$23K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,648 |
1,647 |
$15K |
| 90461 |
|
386 |
386 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,221 |
1,217 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
99 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
308 |
306 |
$4K |
| 96127 |
|
323 |
323 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
119 |
$2K |
| 99050 |
|
135 |
134 |
$2K |
| 87081 |
|
204 |
202 |
$1K |
| 99173 |
|
46 |
46 |
$1K |
| 92552 |
|
57 |
57 |
$929.67 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
42 |
$570.00 |
| 85018 |
|
162 |
162 |
$360.56 |
| 99051 |
|
17 |
16 |
$281.52 |