| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,090 |
2,026 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,588 |
2,560 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,177 |
1,688 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,252 |
1,241 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
625 |
625 |
$52K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
502 |
499 |
$39K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
989 |
980 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
747 |
745 |
$23K |
| 99050 |
|
1,198 |
1,191 |
$20K |
| 90461 |
|
512 |
512 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,056 |
2,054 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
200 |
199 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,337 |
1,314 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
85 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
705 |
703 |
$5K |
| 96127 |
|
444 |
444 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
170 |
$3K |
| 36416 |
|
312 |
310 |
$3K |
| 0001A |
|
51 |
51 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 99177 |
|
89 |
89 |
$2K |
| 99188 |
|
63 |
63 |
$2K |
| 94760 |
|
751 |
735 |
$2K |
| 0002A |
|
28 |
28 |
$1K |
| 83655 |
|
108 |
108 |
$1K |
| 0071A |
|
12 |
12 |
$540.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$33.30 |