| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
691 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
950 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
930 |
$34K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
127 |
127 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
231 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
162 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,062 |
1,060 |
$10K |
| 90461 |
|
266 |
266 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
88 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$7K |
| 96127 |
|
571 |
570 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
347 |
347 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
132 |
132 |
$3K |
| 99050 |
|
128 |
127 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
78 |
$2K |
| 99173 |
|
68 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
76 |
$953.94 |
| 0071A |
|
17 |
17 |
$779.96 |
| 36416 |
|
46 |
46 |
$585.00 |
| 81002 |
|
221 |
218 |
$580.29 |
| 83655 |
|
46 |
46 |
$508.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$448.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$366.30 |
| 85018 |
|
92 |
92 |
$207.40 |
| 99177 |
|
14 |
14 |
$140.00 |