| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,708 |
1,632 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
2,207 |
$125K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
720 |
712 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,160 |
927 |
$35K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,681 |
1,679 |
$15K |
| 99215 |
Prolong outpt/office vis |
115 |
106 |
$14K |
| 96127 |
|
1,080 |
1,006 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
136 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
117 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
108 |
108 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
580 |
554 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
197 |
193 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
183 |
$4K |
| 99177 |
|
106 |
106 |
$3K |
| 90461 |
|
53 |
53 |
$2K |
| 92558 |
|
142 |
142 |
$2K |
| 0071A |
|
37 |
37 |
$2K |
| 0072A |
|
34 |
34 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
68 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
65 |
$785.06 |
| 0004A |
|
14 |
14 |
$642.32 |
| 99051 |
|
33 |
33 |
$546.48 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$416.13 |
| 99050 |
|
12 |
12 |
$198.72 |
| 99173 |
|
12 |
12 |
$192.00 |
| 85018 |
|
25 |
25 |
$57.64 |