| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,430 |
1,405 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
525 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
616 |
607 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
291 |
290 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
887 |
882 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
285 |
285 |
$7K |
| 96127 |
|
489 |
486 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
143 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
264 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
22 |
22 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
154 |
$2K |
| 92558 |
|
45 |
45 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
77 |
$1K |
| 87081 |
|
199 |
196 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$770.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$480.15 |
| 99173 |
|
25 |
25 |
$370.64 |
| 94760 |
|
151 |
150 |
$298.43 |
| 90686 |
|
16 |
16 |
$0.16 |