| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,592 |
1,549 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,718 |
1,700 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,403 |
2,030 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
368 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
330 |
$27K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,463 |
2,461 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
241 |
241 |
$22K |
| 90461 |
|
500 |
500 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
271 |
258 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
168 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,089 |
1,087 |
$11K |
| 96127 |
|
1,091 |
1,091 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
304 |
289 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,102 |
1,096 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
108 |
108 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
322 |
322 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
186 |
186 |
$5K |
| 36416 |
|
492 |
489 |
$5K |
| 0071A |
|
91 |
91 |
$4K |
| 0072A |
|
49 |
49 |
$2K |
| 99177 |
|
119 |
119 |
$2K |
| 0002A |
|
12 |
12 |
$550.56 |
| 0124A |
|
12 |
12 |
$550.56 |
| 81003 |
|
215 |
213 |
$439.77 |
| 0054A |
|
12 |
12 |
$420.00 |
| 83655 |
|
38 |
38 |
$419.90 |
| 80061 |
Lipid panel |
26 |
26 |
$315.46 |
| 94760 |
|
111 |
110 |
$253.33 |
| 99050 |
|
14 |
14 |
$231.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$212.58 |
| 87081 |
|
14 |
14 |
$95.76 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$26.64 |