| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,327 |
2,259 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,611 |
1,528 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
371 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
480 |
468 |
$37K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
253 |
253 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
345 |
$29K |
| 90461 |
|
613 |
606 |
$22K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,326 |
2,314 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
213 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,690 |
1,676 |
$18K |
| 99173 |
|
448 |
447 |
$10K |
| 96127 |
|
518 |
511 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
173 |
173 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
185 |
$4K |
| 99188 |
|
56 |
56 |
$1K |
| 99051 |
|
82 |
81 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$412.20 |
| 85018 |
|
100 |
100 |
$238.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$141.72 |
| 99000 |
|
48 |
48 |
$53.00 |
| 99177 |
|
12 |
12 |
$44.64 |
| 94760 |
|
12 |
12 |
$30.36 |