| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
1,421 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
616 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,049 |
1,048 |
$48K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
228 |
227 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
351 |
351 |
$30K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,487 |
1,475 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
128 |
$11K |
| 90461 |
|
311 |
311 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
882 |
871 |
$9K |
| 99173 |
|
324 |
324 |
$7K |
| 96127 |
|
496 |
490 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
169 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
139 |
139 |
$3K |
| 0071A |
|
40 |
40 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 99051 |
|
65 |
65 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$446.55 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$402.35 |
| 99188 |
|
12 |
12 |
$312.00 |
| 99442 |
|
13 |
13 |
$270.53 |
| 94760 |
|
29 |
29 |
$73.37 |
| 85018 |
|
17 |
17 |
$41.44 |