| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,818 |
2,732 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
754 |
725 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,117 |
795 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,332 |
1,325 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
558 |
555 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,357 |
1,354 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
116 |
116 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
192 |
191 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
103 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
271 |
269 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
448 |
445 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
179 |
$4K |
| 90461 |
|
86 |
86 |
$3K |
| 87081 |
|
359 |
356 |
$2K |
| 0071A |
|
38 |
38 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
112 |
$1K |
| 99173 |
|
55 |
55 |
$1K |
| 96127 |
|
27 |
27 |
$277.29 |
| 85018 |
|
12 |
12 |
$25.92 |