| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
940 |
909 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,260 |
1,251 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,046 |
677 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
472 |
469 |
$24K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
403 |
401 |
$11K |
| 99050 |
|
587 |
584 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
122 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
963 |
959 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
118 |
118 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
81 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
585 |
570 |
$6K |
| 90461 |
|
154 |
154 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
47 |
47 |
$2K |
| 0071A |
|
32 |
32 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
124 |
124 |
$977.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$736.20 |
| 96127 |
|
71 |
71 |
$729.17 |
| 36416 |
|
30 |
30 |
$300.00 |
| 94760 |
|
130 |
130 |
$281.27 |
| 99177 |
|
13 |
13 |
$48.36 |