| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
1,015 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
571 |
$50K |
| 99050 |
|
555 |
550 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
341 |
244 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
86 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
135 |
135 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
296 |
296 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
179 |
178 |
$1K |
| 36416 |
|
100 |
100 |
$1K |
| 96127 |
|
90 |
90 |
$924.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$153.53 |
| 87081 |
|
12 |
12 |
$82.08 |
| 94760 |
|
31 |
31 |
$78.43 |
| 81003 |
|
16 |
16 |
$36.96 |