| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
977 |
939 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
547 |
542 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
275 |
273 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
706 |
706 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
177 |
172 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
114 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
258 |
258 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
86 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
33 |
33 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 96127 |
|
96 |
96 |
$985.92 |
| 90461 |
|
24 |
24 |
$816.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$124.56 |
| 99000 |
|
40 |
40 |
$40.00 |