| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,534 |
1,458 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,835 |
2,683 |
$155K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,554 |
1,484 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,202 |
1,152 |
$52K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
423 |
411 |
$34K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,200 |
1,139 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
275 |
275 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
234 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
518 |
511 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,662 |
1,660 |
$15K |
| 90461 |
|
329 |
328 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
881 |
879 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
80 |
$6K |
| 96127 |
|
589 |
582 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$5K |
| 92587 |
|
142 |
142 |
$4K |
| 99173 |
|
124 |
124 |
$3K |
| 87634 |
|
37 |
36 |
$2K |
| 94760 |
|
745 |
710 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$463.23 |
| 36416 |
|
28 |
28 |
$280.00 |
| 92552 |
|
13 |
13 |
$212.03 |
| 85018 |
|
64 |
64 |
$138.24 |
| 99177 |
|
24 |
24 |
$89.28 |
| 81002 |
|
25 |
24 |
$64.25 |