| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
914 |
866 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,821 |
2,612 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
725 |
694 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,068 |
1,029 |
$16K |
| 96127 |
|
1,055 |
802 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,150 |
1,141 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
489 |
475 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,296 |
732 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
138 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
168 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
105 |
$2K |
| 92551 |
|
70 |
69 |
$658.98 |
| 99215 |
Prolong outpt/office vis |
67 |
64 |
$608.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$532.48 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
65 |
$166.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$160.63 |
| 83655 |
|
13 |
13 |
$138.84 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$82.86 |
| 90461 |
|
12 |
12 |
$78.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$55.85 |
| 99000 |
|
77 |
76 |
$23.10 |
| 90661 |
|
83 |
83 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |