| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,430 |
5,730 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,629 |
1,533 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,324 |
1,314 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
993 |
990 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,118 |
3,074 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
770 |
759 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
639 |
639 |
$63K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,167 |
4,143 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
236 |
230 |
$16K |
| 90461 |
|
984 |
982 |
$14K |
| 92583 |
|
273 |
273 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
210 |
201 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
842 |
838 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
252 |
236 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
560 |
542 |
$7K |
| 99173 |
|
287 |
287 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
287 |
287 |
$5K |
| 85018 |
|
1,242 |
1,228 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
121 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
24 |
21 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 92551 |
|
98 |
98 |
$932.96 |
| 92552 |
|
31 |
31 |
$777.60 |
| 0072A |
|
18 |
18 |
$720.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$528.40 |
| 87807 |
|
15 |
15 |
$162.15 |
| 81002 |
|
12 |
12 |
$36.84 |
| 36416 |
|
209 |
207 |
$0.00 |
| 91307 |
|
82 |
79 |
$0.00 |