| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,848 |
1,769 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,690 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,013 |
1,596 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
579 |
579 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
457 |
457 |
$38K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,384 |
2,378 |
$22K |
| 90461 |
|
553 |
551 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
402 |
397 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
187 |
186 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,093 |
1,090 |
$11K |
| 96127 |
|
970 |
968 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
364 |
358 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
118 |
$9K |
| 99050 |
|
445 |
444 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
213 |
211 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
771 |
763 |
$6K |
| 99177 |
|
289 |
289 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$4K |
| 36416 |
|
427 |
415 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$2K |
| 83655 |
|
142 |
142 |
$2K |
| 0002A |
|
34 |
34 |
$2K |
| 0071A |
|
25 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
61 |
$720.41 |
| 0072A |
|
16 |
16 |
$720.00 |
| 0004A |
|
12 |
12 |
$550.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$401.54 |
| 87081 |
|
56 |
56 |
$383.04 |
| 81003 |
|
170 |
169 |
$365.66 |
| 94760 |
|
81 |
80 |
$180.73 |
| 80061 |
Lipid panel |
13 |
13 |
$158.73 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$29.51 |