| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,186 |
1,153 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,899 |
1,870 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,329 |
1,112 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
286 |
286 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,583 |
1,582 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
114 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
256 |
255 |
$8K |
| 96127 |
|
722 |
722 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
419 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
163 |
162 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$5K |
| 99050 |
|
212 |
212 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
443 |
443 |
$3K |
| 36416 |
|
258 |
256 |
$3K |
| 90461 |
|
50 |
49 |
$2K |
| 0001A |
|
39 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$981.60 |
| 0002A |
|
20 |
20 |
$917.60 |
| 94760 |
|
223 |
220 |
$499.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$354.30 |
| 81003 |
|
71 |
70 |
$148.67 |
| 87081 |
|
12 |
12 |
$82.08 |