| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13,632 |
12,311 |
$446K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,643 |
8,327 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,892 |
4,290 |
$316K |
| X5622 |
|
5,493 |
4,885 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,516 |
2,314 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,620 |
1,402 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,393 |
1,307 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,224 |
6,500 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,537 |
3,181 |
$46K |
| 99188 |
|
6,605 |
6,080 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
456 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
955 |
870 |
$22K |
| 92551 |
|
5,285 |
4,796 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
191 |
177 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,430 |
1,090 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
196 |
189 |
$7K |
| 96127 |
|
1,410 |
1,289 |
$6K |
| 87430 |
|
784 |
684 |
$6K |
| 99173 |
|
5,358 |
4,910 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
118 |
$4K |
| 0240U |
|
32 |
31 |
$4K |
| 87081 |
|
567 |
497 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$1K |
| 90686 |
|
2,542 |
2,323 |
$995.94 |
| 90474 |
|
142 |
131 |
$878.39 |
| 90473 |
|
69 |
67 |
$875.91 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
28 |
26 |
$484.72 |
| 36416 |
|
133 |
96 |
$319.31 |
| 36415 |
Collection of venous blood by venipuncture |
115 |
106 |
$285.02 |
| 90670 |
|
618 |
562 |
$232.84 |
| 90672 |
|
121 |
111 |
$137.63 |
| 94760 |
|
185 |
159 |
$121.78 |
| 90648 |
|
614 |
559 |
$23.76 |
| 90633 |
|
69 |
66 |
$20.40 |
| 96160 |
|
1,424 |
1,329 |
$11.31 |
| 90723 |
|
170 |
160 |
$0.00 |
| 90680 |
|
96 |
90 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 87400 |
|
54 |
27 |
$0.00 |
| 90734 |
|
26 |
25 |
$0.00 |