| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,474 |
1,436 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,500 |
1,260 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
528 |
526 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
208 |
$17K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,780 |
1,776 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
186 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
506 |
504 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
126 |
126 |
$10K |
| 90461 |
|
247 |
246 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
852 |
825 |
$9K |
| 96127 |
|
645 |
645 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
174 |
174 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
90 |
$1K |
| 87081 |
|
58 |
57 |
$396.72 |
| 83655 |
|
14 |
14 |
$174.86 |
| 85027 |
|
14 |
14 |
$93.38 |
| 99177 |
|
15 |
15 |
$55.80 |
| 85018 |
|
12 |
12 |
$25.08 |
| 85014 |
|
12 |
12 |
$25.08 |