| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,462 |
2,369 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,957 |
3,735 |
$222K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,518 |
1,481 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,745 |
1,371 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
645 |
645 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
396 |
$33K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
323 |
320 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,419 |
2,415 |
$22K |
| 90461 |
|
545 |
545 |
$21K |
| 99177 |
|
589 |
589 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
213 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,353 |
1,339 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
508 |
490 |
$12K |
| 96127 |
|
1,000 |
964 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
201 |
200 |
$6K |
| 87634 |
|
57 |
57 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
163 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
251 |
175 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
209 |
$2K |
| 99173 |
|
57 |
57 |
$1K |
| 0002A |
|
21 |
21 |
$963.48 |
| 99051 |
|
46 |
46 |
$761.76 |
| 92558 |
|
73 |
72 |
$708.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$632.50 |
| 85018 |
|
157 |
157 |
$358.16 |
| 94664 |
|
13 |
13 |
$88.27 |
| 85013 |
|
28 |
28 |
$68.32 |