| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,153 |
2,089 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,967 |
1,913 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,319 |
1,067 |
$41K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,432 |
1,430 |
$13K |
| 99215 |
Prolong outpt/office vis |
105 |
105 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
247 |
242 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
108 |
108 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
132 |
129 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
239 |
238 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
284 |
284 |
$6K |
| 96127 |
|
549 |
548 |
$6K |
| 99050 |
|
324 |
323 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
391 |
390 |
$4K |
| 90461 |
|
95 |
95 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
331 |
330 |
$3K |
| 36416 |
|
199 |
199 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
140 |
$2K |
| 0071A |
|
22 |
22 |
$990.00 |
| 87081 |
|
101 |
100 |
$690.84 |
| 99051 |
|
26 |
26 |
$430.56 |
| 81003 |
|
70 |
69 |
$147.14 |
| 87807 |
|
12 |
12 |
$133.02 |
| 94760 |
|
38 |
38 |
$101.20 |
| 99000 |
|
13 |
13 |
$13.00 |