| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,280 |
8,409 |
$484K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,473 |
2,471 |
$179K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,346 |
5,310 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,047 |
2,047 |
$158K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,659 |
1,657 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,337 |
1,278 |
$116K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,662 |
6,657 |
$71K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,825 |
7,802 |
$70K |
| 92588 |
|
2,311 |
2,310 |
$63K |
| 99173 |
|
3,074 |
3,073 |
$61K |
| 90461 |
|
1,390 |
1,388 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
799 |
796 |
$53K |
| 92587 |
|
1,200 |
1,199 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,439 |
1,414 |
$20K |
| 96127 |
|
1,141 |
1,140 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
216 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
117 |
$9K |
| 99383 |
|
67 |
67 |
$8K |
| 99174 |
|
302 |
302 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
453 |
387 |
$6K |
| 99050 |
|
158 |
152 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
152 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
49 |
$2K |
| 85018 |
|
542 |
540 |
$1K |
| 92551 |
|
123 |
123 |
$1K |
| 87807 |
|
55 |
55 |
$644.91 |
| 92552 |
|
14 |
14 |
$348.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$342.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
13 |
$252.70 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$56.25 |
| 81002 |
|
14 |
14 |
$29.37 |
| 90633 |
|
249 |
248 |
$0.51 |
| 90686 |
|
2,380 |
2,380 |
$0.09 |
| 90670 |
|
486 |
486 |
$0.00 |
| 90734 |
|
249 |
249 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 90648 |
|
319 |
319 |
$0.00 |
| 90661 |
|
92 |
89 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90651 |
|
229 |
229 |
$0.00 |
| 90677 |
|
109 |
109 |
$0.00 |
| 90723 |
|
133 |
133 |
$0.00 |
| 90697 |
|
138 |
138 |
$0.00 |
| 90619 |
|
135 |
135 |
$0.00 |
| 90656 |
|
52 |
49 |
$0.00 |