| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,377 |
2,302 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,107 |
1,764 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
548 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
384 |
384 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
654 |
645 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
348 |
348 |
$29K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,695 |
2,687 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
235 |
$24K |
| 90461 |
|
572 |
571 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
648 |
640 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
189 |
186 |
$15K |
| 96127 |
|
1,359 |
1,358 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,116 |
1,076 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
195 |
194 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
292 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
37 |
$3K |
| 87081 |
|
201 |
198 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$899.80 |
| 99177 |
|
99 |
99 |
$746.28 |
| 99051 |
|
39 |
39 |
$629.28 |
| 83655 |
|
52 |
52 |
$609.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$295.25 |
| 85027 |
|
28 |
28 |
$174.44 |
| 94760 |
|
36 |
35 |
$91.08 |
| 36416 |
|
28 |
27 |
$84.00 |