| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,674 |
1,628 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,323 |
2,279 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,465 |
1,204 |
$53K |
| 99215 |
Prolong outpt/office vis |
401 |
376 |
$49K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
214 |
214 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
230 |
$19K |
| 99173 |
|
817 |
817 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,910 |
1,902 |
$17K |
| 96127 |
|
1,170 |
1,132 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
729 |
715 |
$8K |
| 90461 |
|
233 |
233 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
70 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
194 |
$4K |
| 99051 |
|
222 |
219 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
153 |
153 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$515.36 |
| 94760 |
|
30 |
30 |
$75.90 |