| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,316 |
1,290 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,338 |
1,315 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,383 |
1,077 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
241 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
293 |
293 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,397 |
1,396 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
116 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
351 |
351 |
$9K |
| 96127 |
|
662 |
662 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
93 |
93 |
$6K |
| 99050 |
|
348 |
348 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
155 |
154 |
$4K |
| 90461 |
|
100 |
100 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
344 |
$4K |
| 0071A |
|
64 |
64 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
305 |
305 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$2K |
| 36416 |
|
150 |
148 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 0002A |
|
14 |
14 |
$642.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$637.74 |
| 94760 |
|
234 |
228 |
$550.22 |
| 87081 |
|
49 |
49 |
$335.16 |
| 83655 |
|
25 |
25 |
$293.53 |
| 81003 |
|
13 |
13 |
$30.03 |
| 99000 |
|
12 |
12 |
$12.00 |