| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
117 |
115 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
124 |
122 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
254 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
141 |
135 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
403 |
398 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
566 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
125 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
479 |
237 |
$1K |
| 96127 |
|
101 |
101 |
$1K |
| 87634 |
|
16 |
16 |
$990.56 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$83.15 |
| 85018 |
|
14 |
14 |
$29.26 |
| 90661 |
|
40 |
40 |
$0.00 |
| 90656 |
|
16 |
15 |
$0.00 |