| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
217 |
174 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,396 |
3,259 |
$30K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,918 |
2,898 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
468 |
461 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
285 |
283 |
$13K |
| 96127 |
|
1,232 |
1,207 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
705 |
693 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
84 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,588 |
1,396 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
356 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$2K |
| 99173 |
|
731 |
729 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
64 |
$1K |
| 87634 |
|
13 |
13 |
$804.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$548.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
79 |
$525.39 |
| 90661 |
|
188 |
188 |
$432.49 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
204 |
204 |
$415.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$222.76 |
| 87070 |
|
12 |
12 |
$190.44 |
| 99177 |
|
27 |
27 |
$99.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$61.35 |
| 99051 |
|
38 |
38 |
$33.12 |
| 99072 |
|
14 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$0.00 |
| 90686 |
|
100 |
100 |
$0.00 |
| 90656 |
|
56 |
54 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |