| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,726 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,060 |
953 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
551 |
548 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
186 |
185 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
493 |
490 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,304 |
1,303 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
123 |
$10K |
| 90461 |
|
258 |
258 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
804 |
748 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
81 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
194 |
192 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
131 |
$3K |
| 96127 |
|
238 |
238 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
125 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99051 |
|
80 |
80 |
$1K |
| 0071A |
|
16 |
16 |
$734.08 |
| 87081 |
|
47 |
47 |
$321.48 |
| 83655 |
|
27 |
27 |
$298.35 |
| 99177 |
|
40 |
40 |
$291.36 |
| 85027 |
|
13 |
13 |
$76.70 |
| 85018 |
|
25 |
25 |
$54.00 |
| 85014 |
|
25 |
25 |
$54.00 |
| 94760 |
|
15 |
15 |
$37.95 |