| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
56 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
96 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
37 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$2K |
| 90461 |
|
35 |
35 |
$974.16 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
34 |
32 |
$797.64 |
| 92587 |
|
34 |
34 |
$588.54 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
53 |
53 |
$479.65 |
| 96127 |
|
35 |
35 |
$359.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$89.05 |