| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,956 |
1,801 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
750 |
703 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,346 |
1,013 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
494 |
480 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
177 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,436 |
1,427 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
369 |
355 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
715 |
713 |
$7K |
| 90461 |
|
138 |
138 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
244 |
244 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
58 |
$5K |
| 96127 |
|
365 |
363 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
291 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
89 |
$2K |
| 92587 |
|
38 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
35 |
35 |
$1K |
| 99051 |
|
48 |
40 |
$794.88 |
| 0072A |
|
17 |
17 |
$779.96 |
| 83655 |
|
14 |
14 |
$174.86 |
| 36416 |
|
13 |
13 |
$130.00 |
| 85018 |
|
39 |
39 |
$91.24 |