| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,319 |
2,282 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,182 |
1,154 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,604 |
1,327 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,018 |
1,011 |
$52K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
744 |
737 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,718 |
1,716 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
154 |
154 |
$12K |
| 90461 |
|
260 |
260 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
758 |
744 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
85 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
86 |
$7K |
| 96127 |
|
628 |
628 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
195 |
195 |
$6K |
| 99050 |
|
341 |
341 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
232 |
232 |
$2K |
| 36416 |
|
95 |
94 |
$950.00 |
| 0012A |
|
16 |
16 |
$908.64 |
| 94760 |
|
315 |
314 |
$647.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$593.05 |
| 99177 |
|
27 |
27 |
$355.80 |