| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,020 |
2,907 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
792 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,584 |
1,226 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
304 |
304 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
431 |
427 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
252 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,915 |
1,914 |
$17K |
| 96127 |
|
1,061 |
1,061 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
492 |
492 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
118 |
115 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$9K |
| 90461 |
|
219 |
219 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
277 |
275 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
640 |
640 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$3K |
| 0071A |
|
54 |
54 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 99177 |
|
94 |
94 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
55 |
$659.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$649.55 |
| 81002 |
|
196 |
190 |
$515.55 |
| 99050 |
|
28 |
28 |
$463.68 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$433.30 |
| 85018 |
|
122 |
122 |
$286.48 |
| 36416 |
|
12 |
12 |
$114.00 |