| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,522 |
2,417 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,156 |
3,100 |
$179K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,189 |
1,180 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,766 |
1,450 |
$56K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
434 |
433 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,005 |
993 |
$27K |
| 99050 |
|
1,394 |
1,380 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
754 |
752 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
227 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,961 |
1,960 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
206 |
$17K |
| 90461 |
|
275 |
275 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
106 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,185 |
1,177 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
822 |
818 |
$8K |
| 96127 |
|
755 |
754 |
$8K |
| 36416 |
|
467 |
462 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
58 |
$4K |
| 87634 |
|
18 |
18 |
$1K |
| 0071A |
|
23 |
23 |
$1K |
| 94760 |
|
419 |
416 |
$927.52 |
| 99177 |
|
79 |
79 |
$847.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$826.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$803.08 |
| 99188 |
|
26 |
26 |
$676.00 |
| 0072A |
|
13 |
13 |
$585.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$531.70 |
| 87081 |
|
62 |
62 |
$424.08 |
| 99173 |
|
13 |
13 |
$288.86 |
| 83655 |
|
24 |
24 |
$282.48 |
| 87807 |
|
19 |
19 |
$208.73 |
| 99051 |
|
12 |
12 |
$198.72 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
48 |
$111.10 |