| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,784 |
2,761 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,933 |
8,734 |
$192K |
| 90834 |
Psychotherapy, 45 minutes with patient |
522 |
437 |
$102K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,672 |
2,654 |
$78K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,000 |
6,988 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,985 |
3,333 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,190 |
5,100 |
$39K |
| 96127 |
|
3,441 |
3,422 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,218 |
4,747 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
860 |
852 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,188 |
1,188 |
$8K |
| 99050 |
|
322 |
317 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,215 |
1,212 |
$5K |
| 99173 |
|
301 |
300 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
275 |
$3K |
| 83655 |
|
267 |
265 |
$3K |
| 99051 |
|
2,048 |
2,036 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
639 |
639 |
$2K |
| 81002 |
|
411 |
407 |
$1K |
| 99188 |
|
34 |
34 |
$886.00 |
| 90480 |
|
25 |
25 |
$779.79 |
| 90461 |
|
44 |
44 |
$520.00 |
| 85018 |
|
239 |
238 |
$495.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$223.34 |
| 90686 |
|
409 |
408 |
$82.35 |
| 99177 |
|
16 |
16 |
$58.88 |
| 90656 |
|
528 |
522 |
$53.07 |
| 99072 |
|
1,351 |
1,262 |
$5.00 |
| 90677 |
|
281 |
281 |
$0.01 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90697 |
|
64 |
64 |
$0.00 |
| 90680 |
|
86 |
86 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |