| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,579 |
2,525 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,213 |
1,184 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,118 |
2,543 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,042 |
1,042 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
624 |
618 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
519 |
519 |
$43K |
| 90461 |
|
995 |
993 |
$39K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,180 |
3,171 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,829 |
1,824 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
256 |
256 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
318 |
315 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
130 |
$12K |
| 96127 |
|
1,142 |
1,141 |
$12K |
| 99177 |
|
568 |
568 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,031 |
1,026 |
$8K |
| 99188 |
|
283 |
283 |
$7K |
| 99050 |
|
435 |
429 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
217 |
214 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
194 |
194 |
$6K |
| 36416 |
|
537 |
529 |
$5K |
| 83655 |
|
408 |
408 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
170 |
$3K |
| 87634 |
|
17 |
17 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$662.28 |
| 0002A |
|
13 |
13 |
$596.44 |
| 80061 |
Lipid panel |
44 |
41 |
$537.24 |
| 94760 |
|
230 |
228 |
$514.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$496.02 |
| 99051 |
|
17 |
17 |
$281.52 |
| 92587 |
|
12 |
12 |
$207.72 |
| 87081 |
|
27 |
27 |
$184.68 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
30 |
$68.82 |
| 81003 |
|
12 |
12 |
$23.76 |
| 99000 |
|
16 |
16 |
$16.00 |