| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
322 |
313 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,920 |
1,829 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
904 |
899 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
804 |
$8K |
| 96127 |
|
380 |
338 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
58 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
682 |
362 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
118 |
$1K |
| 92587 |
|
59 |
57 |
$891.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$515.80 |
| 90480 |
|
17 |
16 |
$412.83 |
| 99177 |
|
30 |
30 |
$103.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90661 |
|
124 |
124 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$0.00 |
| 99072 |
|
35 |
28 |
$0.00 |