| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,012 |
900 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
666 |
579 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
674 |
566 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
226 |
212 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
620 |
614 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
52 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$853.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$805.35 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
37 |
$721.44 |
| 99051 |
|
38 |
37 |
$397.44 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
14 |
$270.00 |
| 90686 |
|
141 |
141 |
$236.01 |
| 90461 |
|
12 |
12 |
$187.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$147.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
17 |
$88.11 |
| 87081 |
|
12 |
12 |
$78.08 |
| 99000 |
|
131 |
125 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
12 |
$0.00 |