| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,261 |
1,178 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
910 |
717 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
194 |
$19K |
| 99173 |
|
734 |
734 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,440 |
1,438 |
$13K |
| 96127 |
|
846 |
845 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
111 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
49 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
253 |
253 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
125 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
93 |
89 |
$2K |
| 90461 |
|
26 |
26 |
$806.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
104 |
104 |
$751.12 |
| 0071A |
|
18 |
18 |
$720.00 |
| 99051 |
|
41 |
41 |
$678.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$477.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$371.40 |
| 87081 |
|
26 |
26 |
$167.44 |