| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
636 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
339 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
563 |
560 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
90 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
217 |
217 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
45 |
$1K |
| 99051 |
|
60 |
60 |
$993.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
98 |
79 |
$930.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$158.73 |
| 96127 |
|
14 |
14 |
$143.78 |
| 99177 |
|
24 |
24 |
$89.28 |
| 99072 |
|
28 |
28 |
$0.00 |