| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,589 |
4,392 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,898 |
1,843 |
$193K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,081 |
1,050 |
$171K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,384 |
1,979 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
823 |
823 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
735 |
734 |
$62K |
| 90461 |
|
750 |
749 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
365 |
$29K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,895 |
2,890 |
$26K |
| 99173 |
|
922 |
922 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
542 |
535 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,563 |
1,544 |
$16K |
| 96127 |
|
1,297 |
1,296 |
$13K |
| 99050 |
|
800 |
793 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
130 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
432 |
426 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
377 |
376 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
166 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
64 |
$3K |
| 99051 |
|
126 |
125 |
$2K |
| 81002 |
|
363 |
353 |
$988.28 |
| 83655 |
|
87 |
87 |
$945.81 |
| 0072A |
|
15 |
15 |
$688.20 |
| 0071A |
|
13 |
13 |
$596.44 |
| 36416 |
|
42 |
42 |
$495.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
39 |
39 |
$182.97 |
| 85018 |
|
66 |
66 |
$139.69 |