| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,145 |
8,928 |
$109K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,490 |
6,421 |
$48K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,379 |
1,374 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
519 |
517 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
311 |
309 |
$22K |
| 96127 |
|
2,047 |
2,021 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,679 |
1,536 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,775 |
2,614 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
431 |
428 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
574 |
565 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
247 |
235 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
88 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
231 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
222 |
$2K |
| 87081 |
|
195 |
194 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
42 |
$1K |
| 90461 |
|
54 |
53 |
$499.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
43 |
$464.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
146 |
$306.75 |
| 99177 |
|
78 |
78 |
$285.96 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$281.52 |
| 94760 |
|
248 |
240 |
$251.40 |
| 99051 |
|
272 |
271 |
$192.96 |
| 83655 |
|
12 |
12 |
$117.48 |
| 85014 |
|
24 |
24 |
$48.07 |
| 85018 |
|
24 |
24 |
$48.07 |
| 99072 |
|
978 |
913 |
$2.13 |
| 90661 |
|
172 |
172 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90656 |
|
28 |
28 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |