| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,882 |
5,466 |
$300K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,192 |
1,120 |
$99K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,220 |
1,093 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,198 |
2,186 |
$53K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,122 |
3,113 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,939 |
2,861 |
$30K |
| 96127 |
|
1,647 |
1,637 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
768 |
753 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
751 |
519 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
354 |
339 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
172 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
355 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
63 |
60 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$2K |
| 92551 |
|
200 |
200 |
$2K |
| 90461 |
|
93 |
93 |
$2K |
| 99173 |
|
99 |
99 |
$2K |
| 99188 |
|
53 |
53 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 85018 |
|
329 |
327 |
$695.47 |
| 90686 |
|
1,308 |
1,303 |
$416.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.12 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 94760 |
|
775 |
726 |
$0.00 |
| 99000 |
|
433 |
420 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |