| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,211 |
1,112 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
315 |
305 |
$16K |
| 96127 |
|
407 |
394 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
30 |
$704.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$572.60 |
| 90682 |
|
13 |
13 |
$370.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$306.75 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13 |
13 |
$117.65 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
59 |
$109.33 |
| 94760 |
|
77 |
74 |
$49.72 |