| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,242 |
3,102 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,423 |
1,352 |
$141K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,043 |
1,378 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,128 |
1,086 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
357 |
357 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
341 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
346 |
336 |
$28K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
848 |
816 |
$20K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,149 |
2,149 |
$20K |
| 90461 |
|
415 |
415 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
375 |
368 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,056 |
1,056 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
136 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$9K |
| 96127 |
|
839 |
837 |
$9K |
| 99173 |
|
365 |
365 |
$8K |
| 99050 |
|
338 |
333 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
231 |
$3K |
| 92587 |
|
115 |
114 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
67 |
$1K |
| 94760 |
|
548 |
515 |
$1K |
| 87634 |
|
15 |
14 |
$928.80 |
| 94664 |
|
14 |
13 |
$469.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$228.90 |
| 36416 |
|
16 |
16 |
$160.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$141.72 |
| 81002 |
|
40 |
40 |
$104.76 |
| 99177 |
|
14 |
14 |
$52.08 |
| 85018 |
|
14 |
14 |
$30.24 |