| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,259 |
1,178 |
$72K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
382 |
361 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
478 |
463 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
525 |
513 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
241 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
222 |
218 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
509 |
508 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
185 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$14K |
| 87634 |
|
230 |
226 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
127 |
$10K |
| 90461 |
|
246 |
246 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
636 |
636 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
493 |
488 |
$5K |
| 96127 |
|
348 |
343 |
$4K |
| 94760 |
|
1,596 |
1,464 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
86 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
170 |
$2K |
| 92587 |
|
134 |
134 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
102 |
$2K |
| 81002 |
|
505 |
499 |
$1K |
| 99188 |
|
29 |
29 |
$754.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
44 |
$538.12 |
| 99177 |
|
110 |
110 |
$409.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$177.12 |
| 85018 |
|
45 |
45 |
$95.31 |
| 81000 |
|
14 |
14 |
$41.58 |