| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
464 |
451 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
191 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
189 |
189 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
212 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
88 |
88 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
82 |
82 |
$3K |
| 90461 |
|
67 |
67 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
197 |
194 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
129 |
$2K |
| 99051 |
|
86 |
86 |
$1K |
| 87634 |
|
22 |
22 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 96127 |
|
60 |
60 |
$616.20 |
| 92587 |
|
25 |
25 |
$432.75 |
| 99173 |
|
12 |
12 |
$266.64 |
| 85018 |
|
44 |
44 |
$91.96 |
| 81003 |
|
12 |
12 |
$23.76 |