| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,131 |
2,867 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,069 |
4,679 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,050 |
3,715 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,023 |
1,022 |
$85K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,478 |
1,394 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
895 |
895 |
$75K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
538 |
528 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
409 |
408 |
$37K |
| 90461 |
|
1,065 |
1,057 |
$37K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,834 |
3,822 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
443 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,165 |
1,139 |
$34K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,242 |
1,161 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,048 |
2,045 |
$23K |
| 96127 |
|
1,847 |
1,833 |
$20K |
| 92587 |
|
457 |
454 |
$16K |
| 99177 |
|
438 |
437 |
$7K |
| 99173 |
|
311 |
311 |
$7K |
| 0071A |
|
122 |
122 |
$6K |
| 97803 |
|
54 |
39 |
$5K |
| 0072A |
|
104 |
104 |
$5K |
| 83655 |
|
304 |
304 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
108 |
$3K |
| 36416 |
|
194 |
194 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
91 |
$2K |
| 87634 |
|
28 |
27 |
$2K |
| 94760 |
|
710 |
670 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$1K |
| 85018 |
|
359 |
359 |
$852.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$744.69 |
| 0081A |
|
13 |
13 |
$596.44 |
| 0001A |
|
12 |
12 |
$550.56 |
| 0074A |
|
12 |
12 |
$550.56 |
| 92552 |
|
16 |
16 |
$260.96 |
| 87807 |
|
15 |
15 |
$164.10 |
| 80061 |
Lipid panel |
12 |
12 |
$146.52 |
| 81002 |
|
21 |
19 |
$53.97 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$28.86 |