| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,512 |
2,383 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
2,994 |
$175K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,767 |
1,479 |
$60K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,018 |
988 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
309 |
$26K |
| 96127 |
|
1,701 |
1,534 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
257 |
255 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,147 |
2,145 |
$19K |
| 99177 |
|
373 |
373 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
939 |
920 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$9K |
| 90461 |
|
239 |
239 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
356 |
343 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
229 |
228 |
$7K |
| 92558 |
|
259 |
255 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
248 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
207 |
$3K |
| 87634 |
|
39 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99051 |
|
81 |
80 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 0071A |
|
22 |
22 |
$1K |
| 90473 |
|
35 |
35 |
$715.75 |
| 99188 |
|
26 |
26 |
$676.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$660.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$410.55 |
| 99173 |
|
12 |
12 |
$266.64 |
| 99050 |
|
13 |
13 |
$215.28 |
| 87807 |
|
15 |
15 |
$177.15 |
| 85018 |
|
52 |
52 |
$122.05 |
| 96160 |
|
26 |
26 |
$100.36 |
| 94760 |
|
13 |
12 |
$0.00 |