| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,872 |
1,804 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,244 |
2,182 |
$127K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
818 |
809 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,123 |
918 |
$35K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,745 |
1,744 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
170 |
166 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
169 |
$14K |
| 96127 |
|
1,019 |
1,000 |
$13K |
| 0072A |
|
179 |
179 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
622 |
610 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$7K |
| 99177 |
|
167 |
166 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
239 |
233 |
$6K |
| 0001A |
|
115 |
115 |
$5K |
| 0071A |
|
96 |
96 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
130 |
128 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
187 |
187 |
$4K |
| 92558 |
|
217 |
217 |
$3K |
| 0002A |
|
62 |
62 |
$3K |
| 90461 |
|
67 |
67 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
184 |
$2K |
| 0074A |
|
47 |
46 |
$2K |
| 0082A |
|
37 |
37 |
$2K |
| 0004A |
|
35 |
35 |
$2K |
| 0081A |
|
30 |
30 |
$1K |
| 99051 |
|
48 |
48 |
$794.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
42 |
$770.70 |
| 87634 |
|
12 |
12 |
$743.04 |
| 99050 |
|
16 |
16 |
$264.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$18.35 |