| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
51 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
172 |
168 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
183 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
330 |
$928.31 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
29 |
$866.60 |
| 96127 |
|
50 |
50 |
$472.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
267 |
148 |
$311.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$287.56 |
| 99051 |
|
13 |
13 |
$16.56 |
| 99072 |
|
17 |
14 |
$0.00 |