| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
457 |
427 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
149 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
90 |
90 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
115 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
135 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
127 |
125 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
80 |
$2K |
| 92587 |
|
140 |
139 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
218 |
217 |
$2K |
| 90461 |
|
71 |
70 |
$2K |
| 96127 |
|
146 |
146 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 87634 |
|
15 |
15 |
$928.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$818.00 |
| 99173 |
|
29 |
29 |
$644.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
61 |
$636.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$477.10 |
| 83655 |
|
18 |
18 |
$192.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$82.20 |
| 85018 |
|
28 |
28 |
$58.52 |
| 99177 |
|
13 |
13 |
$48.36 |