| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
998 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,760 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
690 |
690 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,609 |
1,326 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
329 |
$28K |
| 90461 |
|
585 |
563 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
212 |
212 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,483 |
1,440 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,777 |
1,776 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
147 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
227 |
226 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
323 |
320 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
198 |
192 |
$6K |
| 99051 |
|
280 |
280 |
$5K |
| 96127 |
|
355 |
355 |
$4K |
| 87634 |
|
32 |
32 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
156 |
$2K |
| 99173 |
|
84 |
84 |
$2K |
| 83655 |
|
132 |
132 |
$1K |
| 85018 |
|
495 |
495 |
$1K |
| 81003 |
|
468 |
463 |
$954.74 |
| 92587 |
|
40 |
40 |
$692.40 |
| 0071A |
|
12 |
12 |
$550.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$374.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 92551 |
|
13 |
13 |
$109.59 |