| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,433 |
3,223 |
$229K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,465 |
2,187 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
537 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
426 |
426 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
753 |
733 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
347 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
387 |
375 |
$35K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,679 |
2,671 |
$25K |
| 90461 |
|
645 |
644 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
206 |
206 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,360 |
1,358 |
$14K |
| 99173 |
|
428 |
428 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
202 |
198 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
135 |
133 |
$8K |
| 96127 |
|
1,208 |
1,203 |
$8K |
| 92587 |
|
153 |
152 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
158 |
155 |
$4K |
| 85018 |
|
982 |
982 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
178 |
175 |
$2K |
| 0071A |
|
35 |
35 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 0001A |
|
25 |
25 |
$1K |
| 90688 |
|
32 |
32 |
$720.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$497.64 |
| 83655 |
|
26 |
26 |
$338.00 |
| 99177 |
|
26 |
26 |
$278.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$239.72 |
| 36416 |
|
12 |
12 |
$0.00 |