| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,472 |
1,383 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
793 |
787 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
315 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
307 |
304 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
999 |
999 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
218 |
216 |
$5K |
| 96127 |
|
374 |
373 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
354 |
354 |
$4K |
| 92552 |
|
123 |
123 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$954.38 |
| 90461 |
|
26 |
26 |
$777.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$609.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
39 |
$584.00 |
| 0071A |
|
14 |
14 |
$546.00 |
| 99173 |
|
24 |
24 |
$499.98 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$371.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$183.15 |
| 99000 |
|
136 |
136 |
$135.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$26.64 |