| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,562 |
1,484 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,174 |
995 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
530 |
509 |
$27K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,239 |
1,232 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
315 |
304 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
60 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
437 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 96127 |
|
364 |
364 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99188 |
|
38 |
38 |
$988.00 |
| 90461 |
|
27 |
27 |
$924.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
56 |
$803.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
65 |
$795.46 |
| 0072A |
|
12 |
12 |
$550.56 |
| 0071A |
|
12 |
12 |
$550.56 |
| 99173 |
|
27 |
27 |
$506.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$414.15 |
| 99050 |
|
13 |
13 |
$215.28 |