| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,052 |
1,005 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
341 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
810 |
705 |
$28K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,196 |
1,190 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
340 |
334 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
538 |
516 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
174 |
$4K |
| 96127 |
|
313 |
284 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 90461 |
|
72 |
72 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
108 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$1K |
| 99177 |
|
40 |
40 |
$584.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
20 |
$292.00 |
| 94760 |
|
100 |
98 |
$198.00 |
| 92551 |
|
12 |
12 |
$101.16 |