| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,273 |
1,210 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
782 |
699 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
532 |
513 |
$27K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,266 |
1,259 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
133 |
131 |
$11K |
| 99173 |
|
478 |
478 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
384 |
368 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
75 |
$8K |
| 96127 |
|
571 |
571 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
407 |
405 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 90461 |
|
62 |
62 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
54 |
54 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
81 |
$2K |
| 87634 |
|
17 |
17 |
$1K |
| 0072A |
|
21 |
21 |
$957.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$928.20 |
| 0071A |
|
23 |
23 |
$920.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
70 |
$850.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53 |
53 |
$366.17 |
| 87081 |
|
55 |
55 |
$352.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$293.60 |