| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,118 |
1,041 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
273 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
146 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
50 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
125 |
123 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
242 |
242 |
$2K |
| 96127 |
|
85 |
84 |
$872.95 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
55 |
$635.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
34 |
$470.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$141.72 |