| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,826 |
3,710 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,023 |
1,007 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,610 |
1,603 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,363 |
1,336 |
$70K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
447 |
445 |
$36K |
| 90461 |
|
718 |
714 |
$28K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,065 |
1,041 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
298 |
298 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
268 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
226 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
495 |
487 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,694 |
1,694 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
812 |
812 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
466 |
458 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$7K |
| 96127 |
|
477 |
477 |
$5K |
| 92558 |
|
239 |
239 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
285 |
279 |
$3K |
| 94760 |
|
1,540 |
1,512 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
135 |
$3K |
| 87081 |
|
213 |
208 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
140 |
140 |
$989.72 |
| 99173 |
|
38 |
38 |
$844.36 |
| 83655 |
|
70 |
69 |
$757.59 |
| 36416 |
|
71 |
71 |
$674.50 |
| 99177 |
|
69 |
69 |
$642.52 |