| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,442 |
1,389 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
147 |
144 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
227 |
222 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
52 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
474 |
471 |
$4K |
| 96127 |
|
97 |
79 |
$985.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$699.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
318 |
160 |
$661.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
36 |
$472.42 |
| 90686 |
|
13 |
13 |
$0.00 |
| 99072 |
|
21 |
15 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |