| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
410 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
691 |
683 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
201 |
200 |
$10K |
| 96127 |
|
506 |
449 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
227 |
227 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
467 |
467 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
180 |
179 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
41 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
150 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
175 |
169 |
$3K |
| 94760 |
|
521 |
505 |
$1K |
| 0071A |
|
12 |
12 |
$550.56 |
| 99173 |
|
13 |
13 |
$288.86 |
| 96160 |
|
14 |
13 |
$57.90 |