| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,355 |
1,246 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
437 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
997 |
832 |
$29K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,094 |
1,083 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
112 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
323 |
$4K |
| 96127 |
|
261 |
257 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
72 |
71 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
114 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
80 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
145 |
$2K |
| 90461 |
|
46 |
46 |
$2K |
| 99174 |
|
27 |
27 |
$396.48 |