| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,591 |
2,269 |
$90K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
852 |
825 |
$27K |
| 99307 |
|
400 |
389 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
273 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$1K |
| X5622 |
|
116 |
72 |
$1K |
| 99442 |
|
26 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
69 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
63 |
63 |
$998.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
19 |
$582.02 |
| 92552 |
|
26 |
26 |
$577.19 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$522.55 |
| 90662 |
|
14 |
14 |
$456.00 |
| 90686 |
|
214 |
208 |
$416.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
135 |
91 |
$349.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
13 |
$188.70 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$180.12 |
| W0037 |
|
28 |
28 |
$84.00 |
| 99173 |
|
28 |
28 |
$46.22 |
| 96127 |
|
16 |
12 |
$0.00 |