| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,007 |
1,893 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
779 |
733 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,026 |
887 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
479 |
471 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,659 |
1,650 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
139 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
94 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
760 |
756 |
$8K |
| 96127 |
|
931 |
917 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
104 |
104 |
$6K |
| 99173 |
|
246 |
246 |
$6K |
| 90461 |
|
97 |
97 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 85018 |
|
802 |
802 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
148 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
28 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
69 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 92587 |
|
26 |
26 |
$811.20 |
| 36416 |
|
17 |
17 |
$0.00 |