| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,166 |
2,031 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,925 |
1,546 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
326 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
252 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
356 |
346 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,712 |
1,696 |
$16K |
| 96127 |
|
990 |
990 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
376 |
364 |
$9K |
| 99173 |
|
216 |
216 |
$4K |
| 90461 |
|
107 |
107 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
342 |
$4K |
| 92552 |
|
139 |
139 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
125 |
$2K |
| 0071A |
|
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$878.53 |
| 0072A |
|
16 |
16 |
$734.08 |
| 99188 |
|
25 |
25 |
$650.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$305.75 |
| 99050 |
|
15 |
15 |
$248.40 |