| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,081 |
2,005 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,306 |
2,263 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,134 |
1,770 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
547 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
664 |
659 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
288 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
287 |
$23K |
| 90461 |
|
584 |
584 |
$22K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,385 |
2,382 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
279 |
279 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
638 |
633 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,330 |
1,306 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,468 |
1,462 |
$11K |
| 96127 |
|
883 |
883 |
$9K |
| 36416 |
|
770 |
757 |
$8K |
| 99050 |
|
438 |
435 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
236 |
236 |
$7K |
| 99177 |
|
234 |
234 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$3K |
| 99188 |
|
115 |
115 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$2K |
| 0072A |
|
38 |
38 |
$2K |
| 0071A |
|
37 |
37 |
$2K |
| 94760 |
|
680 |
661 |
$2K |
| 83655 |
|
82 |
82 |
$943.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
78 |
$921.18 |
| 99051 |
|
49 |
49 |
$811.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$401.54 |
| 87081 |
|
44 |
44 |
$300.96 |
| 81003 |
|
32 |
32 |
$68.98 |