| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
95 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
145 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
106 |
104 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
109 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
56 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
23 |
23 |
$711.85 |
| 87634 |
|
19 |
19 |
$570.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
55 |
55 |
$497.75 |
| 90461 |
|
12 |
12 |
$482.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$410.80 |
| 94760 |
|
93 |
91 |
$184.14 |