| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
962 |
930 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
408 |
407 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
142 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
281 |
277 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
687 |
684 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
72 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
184 |
182 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
50 |
$4K |
| 90461 |
|
120 |
120 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
397 |
392 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
83 |
$2K |
| 96127 |
|
106 |
106 |
$1K |
| 0072A |
|
16 |
16 |
$734.08 |
| 0071A |
|
12 |
12 |
$550.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$412.20 |
| 85018 |
|
96 |
96 |
$202.25 |
| 83655 |
|
12 |
12 |
$128.16 |