| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,463 |
1,404 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
826 |
823 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
553 |
544 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
181 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
149 |
147 |
$12K |
| 90461 |
|
313 |
311 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,161 |
1,156 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
394 |
387 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
133 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
77 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
655 |
650 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
125 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$4K |
| 96127 |
|
359 |
356 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
156 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
33 |
33 |
$1K |
| 87634 |
|
14 |
14 |
$866.88 |
| 36416 |
|
77 |
77 |
$731.50 |
| 0072A |
|
12 |
12 |
$550.56 |
| 85018 |
|
194 |
194 |
$414.77 |
| 99188 |
|
12 |
12 |
$312.00 |
| 99177 |
|
12 |
12 |
$44.64 |