| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,192 |
1,172 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
1,079 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
818 |
803 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
599 |
598 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
384 |
383 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
291 |
289 |
$24K |
| 90461 |
|
386 |
386 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
157 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
356 |
353 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
911 |
910 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
793 |
792 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
111 |
$2K |
| 0071A |
|
44 |
44 |
$2K |
| 87634 |
|
31 |
31 |
$2K |
| 0072A |
|
24 |
24 |
$1K |
| 96127 |
|
88 |
88 |
$903.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$777.10 |
| 92552 |
|
19 |
19 |
$489.25 |
| 99051 |
|
13 |
13 |
$198.72 |
| 85018 |
|
84 |
84 |
$176.75 |