| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,854 |
3,789 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,075 |
2,025 |
$196K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,405 |
2,393 |
$103K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
982 |
975 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
529 |
529 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
524 |
524 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
502 |
498 |
$41K |
| 90461 |
|
691 |
690 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,637 |
2,635 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
244 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
203 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
529 |
528 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,457 |
1,456 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
587 |
582 |
$14K |
| 96127 |
|
1,152 |
1,151 |
$12K |
| 92558 |
|
490 |
490 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
651 |
649 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
497 |
268 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263 |
259 |
$4K |
| 87081 |
|
458 |
456 |
$4K |
| 94760 |
|
1,489 |
1,460 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
380 |
380 |
$3K |
| 83655 |
|
237 |
237 |
$3K |
| 99173 |
|
126 |
126 |
$2K |
| 36416 |
|
177 |
177 |
$2K |
| 99177 |
|
152 |
152 |
$1K |
| 81003 |
|
44 |
43 |
$88.24 |