| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,222 |
1,209 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
415 |
$40K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
122 |
122 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
346 |
329 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
805 |
804 |
$7K |
| 96127 |
|
392 |
384 |
$4K |
| 99173 |
|
185 |
184 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
128 |
128 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
104 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
155 |
151 |
$2K |
| 99051 |
|
90 |
90 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90461 |
|
25 |
25 |
$934.80 |
| 0072A |
|
16 |
16 |
$734.08 |
| 94760 |
|
14 |
13 |
$35.42 |