| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,218 |
3,964 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
1,196 |
$149K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,439 |
1,387 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,454 |
1,336 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
292 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
264 |
264 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,818 |
1,816 |
$17K |
| 90461 |
|
437 |
435 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
181 |
176 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
113 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
370 |
365 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
907 |
904 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
120 |
118 |
$6K |
| 96127 |
|
788 |
781 |
$6K |
| 99173 |
|
184 |
184 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
327 |
319 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 92587 |
|
118 |
118 |
$4K |
| 85018 |
|
639 |
639 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
66 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$937.86 |
| 0072A |
|
13 |
13 |
$626.21 |
| 0002A |
|
12 |
12 |
$578.04 |
| 99051 |
|
14 |
14 |
$231.84 |
| 83655 |
|
14 |
14 |
$182.00 |
| 99177 |
|
38 |
38 |
$148.58 |