| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
1,029 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,631 |
1,604 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,514 |
1,034 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
542 |
540 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
241 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,351 |
1,350 |
$12K |
| 99050 |
|
673 |
673 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
425 |
424 |
$11K |
| 90461 |
|
262 |
261 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
109 |
109 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
708 |
702 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
69 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
183 |
183 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
257 |
253 |
$2K |
| 96127 |
|
151 |
150 |
$2K |
| 36416 |
|
133 |
131 |
$1K |
| 0072A |
|
22 |
22 |
$990.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$460.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$448.78 |
| 94760 |
|
188 |
187 |
$421.74 |
| 99177 |
|
12 |
12 |
$300.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 99051 |
|
13 |
13 |
$215.28 |
| 83655 |
|
13 |
13 |
$143.65 |
| 87081 |
|
21 |
21 |
$143.64 |