| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,078 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
692 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
169 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
127 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
840 |
833 |
$8K |
| 90461 |
|
127 |
127 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
407 |
407 |
$4K |
| 99177 |
|
101 |
101 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
187 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$2K |
| 96127 |
|
71 |
69 |
$790.79 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$281.64 |
| 36416 |
|
13 |
13 |
$162.50 |
| 99000 |
|
26 |
26 |
$26.00 |