| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,385 |
3,340 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,679 |
6,425 |
$65K |
| 90791 |
Psychiatric diagnostic evaluation |
363 |
363 |
$44K |
| 96127 |
|
2,725 |
2,600 |
$34K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,693 |
3,687 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,330 |
2,219 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
168 |
163 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
270 |
269 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,230 |
1,168 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
544 |
542 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
99 |
88 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,774 |
1,778 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
170 |
169 |
$4K |
| 94760 |
|
1,076 |
1,011 |
$2K |
| 99188 |
|
70 |
70 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
126 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
95 |
$903.85 |
| 90480 |
|
17 |
16 |
$733.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$414.30 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$363.56 |
| 92551 |
|
30 |
30 |
$282.74 |
| 90785 |
|
12 |
12 |
$265.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
148 |
$163.60 |
| 99051 |
|
82 |
81 |
$130.00 |
| 90686 |
|
133 |
129 |
$58.38 |
| 99177 |
|
12 |
12 |
$44.64 |
| 85018 |
|
12 |
12 |
$20.90 |
| 90656 |
|
297 |
297 |
$0.00 |
| 99000 |
|
51 |
50 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 90677 |
|
44 |
44 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 99072 |
|
43 |
39 |
$0.00 |