| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,638 |
2,567 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,173 |
3,122 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,815 |
2,339 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
873 |
873 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
849 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
813 |
804 |
$42K |
| 90461 |
|
903 |
901 |
$35K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,203 |
3,199 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
372 |
370 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
344 |
340 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,705 |
1,700 |
$18K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
643 |
635 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
173 |
$16K |
| 99050 |
|
912 |
908 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
480 |
479 |
$14K |
| 96127 |
|
1,353 |
1,353 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,556 |
1,552 |
$11K |
| 36416 |
|
762 |
755 |
$8K |
| 99177 |
|
408 |
408 |
$7K |
| 83655 |
|
188 |
188 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
100 |
$2K |
| 0071A |
|
42 |
42 |
$2K |
| 94760 |
|
712 |
709 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 94010 |
|
40 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
81 |
$956.61 |
| 94664 |
|
55 |
55 |
$757.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$684.98 |
| 0002A |
|
13 |
13 |
$596.44 |
| 87081 |
|
67 |
67 |
$458.28 |
| 80061 |
Lipid panel |
30 |
28 |
$366.30 |
| 99173 |
|
15 |
15 |
$333.30 |
| 81003 |
|
148 |
148 |
$306.26 |
| 99051 |
|
13 |
13 |
$215.28 |
| 87807 |
|
14 |
14 |
$155.77 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$26.64 |