| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,800 |
1,539 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,108 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,301 |
1,053 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,106 |
1,103 |
$12K |
| 99173 |
|
517 |
516 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,184 |
1,184 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
204 |
195 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
67 |
65 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
114 |
101 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
211 |
202 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
207 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
183 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90461 |
|
53 |
53 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 96127 |
|
58 |
58 |
$872.95 |
| 0072A |
|
13 |
13 |
$596.44 |
| 92550 |
|
31 |
25 |
$514.29 |
| 94760 |
|
195 |
171 |
$493.35 |