| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
548 |
532 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,846 |
1,737 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,481 |
1,473 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,646 |
1,606 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,166 |
1,304 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
491 |
$3K |
| 99188 |
|
86 |
86 |
$2K |
| 92552 |
|
38 |
38 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
68 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
97 |
$555.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
87 |
$454.45 |
| 99050 |
|
12 |
12 |
$205.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$204.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$142.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$83.15 |
| 99173 |
|
50 |
47 |
$45.68 |
| 90656 |
|
58 |
58 |
$0.00 |
| 90686 |
|
102 |
102 |
$0.00 |
| 90661 |
|
168 |
166 |
$0.00 |
| 99072 |
|
29 |
26 |
$0.00 |