| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,464 |
7,816 |
$435K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,652 |
2,566 |
$53K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
944 |
885 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
527 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
152 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
194 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
147 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
167 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
775 |
746 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
389 |
373 |
$5K |
| 90677 |
|
14 |
14 |
$3K |
| 90461 |
|
259 |
258 |
$3K |
| 90686 |
|
681 |
598 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
86 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,039 |
1,024 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$1K |
| 96127 |
|
415 |
414 |
$928.06 |
| 99173 |
|
845 |
637 |
$924.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$279.31 |
| 90700 |
|
65 |
60 |
$235.05 |
| 99188 |
|
13 |
13 |
$233.00 |
| 90713 |
|
31 |
29 |
$193.28 |
| 90661 |
|
76 |
73 |
$144.90 |
| 83655 |
|
63 |
54 |
$49.27 |
| 90648 |
|
17 |
17 |
$38.76 |
| 90633 |
|
14 |
13 |
$38.24 |
| 3008F |
|
634 |
629 |
$20.00 |
| 90715 |
|
21 |
16 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |