| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,182 |
2,046 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,730 |
1,157 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
245 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
205 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
189 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,405 |
1,405 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
203 |
201 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
725 |
720 |
$7K |
| 96127 |
|
484 |
470 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
203 |
201 |
$5K |
| 90461 |
|
112 |
112 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
133 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$452.60 |
| 94760 |
|
38 |
35 |
$96.14 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.24 |
| 99000 |
|
13 |
13 |
$13.00 |