| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
196 |
193 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,830 |
2,596 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,342 |
2,334 |
$19K |
| 99188 |
|
597 |
595 |
$16K |
| 96127 |
|
1,334 |
1,330 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,109 |
1,016 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
613 |
562 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
381 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,019 |
1,461 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
111 |
111 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
605 |
603 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
514 |
510 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
629 |
628 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
466 |
465 |
$2K |
| 85018 |
|
761 |
753 |
$2K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
16 |
16 |
$470.88 |
| 90461 |
|
17 |
17 |
$195.00 |
| 83655 |
|
13 |
13 |
$138.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
157 |
156 |
$134.90 |
| 81002 |
|
13 |
13 |
$36.84 |
| 90473 |
|
22 |
22 |
$20.45 |
| 90677 |
|
253 |
252 |
$0.00 |
| 90651 |
|
106 |
106 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |
| 90697 |
|
158 |
158 |
$0.00 |
| 90680 |
|
148 |
148 |
$0.00 |
| 90656 |
|
129 |
128 |
$0.00 |
| 90686 |
|
133 |
132 |
$0.00 |
| 90660 |
|
18 |
18 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90672 |
|
23 |
23 |
$0.00 |
| 90633 |
|
85 |
85 |
$0.00 |
| 99072 |
|
364 |
299 |
$0.00 |
| 90734 |
|
76 |
76 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |