| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,736 |
2,699 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,183 |
1,168 |
$116K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,058 |
1,045 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,056 |
892 |
$38K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
872 |
857 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
240 |
239 |
$19K |
| 99050 |
|
736 |
734 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
347 |
347 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,127 |
1,125 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
387 |
372 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 96127 |
|
327 |
327 |
$3K |
| 90461 |
|
85 |
84 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$858.90 |
| 94760 |
|
318 |
317 |
$696.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
79 |
$568.15 |
| 36416 |
|
54 |
54 |
$540.00 |
| 80061 |
Lipid panel |
13 |
13 |
$153.53 |