| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,614 |
6,115 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,761 |
1,721 |
$179K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,484 |
1,668 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
524 |
524 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
498 |
498 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
750 |
746 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
295 |
$27K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,132 |
1,123 |
$27K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
283 |
281 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
325 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,382 |
2,379 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,615 |
2,602 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
274 |
273 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
606 |
602 |
$19K |
| 90461 |
|
484 |
484 |
$17K |
| 99173 |
|
593 |
593 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
725 |
713 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
294 |
$6K |
| 99050 |
|
263 |
262 |
$4K |
| 87081 |
|
592 |
585 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
185 |
$2K |
| 99051 |
|
120 |
120 |
$2K |
| 83655 |
|
152 |
151 |
$2K |
| 94760 |
|
665 |
652 |
$1K |
| 0072A |
|
19 |
19 |
$871.72 |
| 96127 |
|
66 |
66 |
$677.82 |
| 99177 |
|
65 |
65 |
$672.02 |
| 0071A |
|
12 |
12 |
$550.56 |
| 87070 |
|
36 |
36 |
$517.36 |
| 85018 |
|
173 |
173 |
$410.64 |
| 92551 |
|
15 |
15 |
$148.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$82.20 |
| 82465 |
|
13 |
13 |
$51.61 |
| 81002 |
|
14 |
14 |
$36.96 |