| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
494 |
486 |
$28K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
130 |
130 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
319 |
319 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
111 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
107 |
$8K |
| 90461 |
|
126 |
126 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
449 |
445 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
348 |
344 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
40 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
66 |
66 |
$2K |
| 99050 |
|
89 |
88 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99051 |
|
50 |
49 |
$828.00 |
| 96127 |
|
72 |
71 |
$739.44 |