| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,418 |
2,376 |
$139K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,899 |
2,044 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
713 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
719 |
719 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
655 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
402 |
$37K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
241 |
240 |
$33K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,174 |
3,172 |
$29K |
| 99173 |
|
1,241 |
1,241 |
$28K |
| 90461 |
|
696 |
695 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
294 |
$23K |
| 96127 |
|
1,541 |
1,535 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,580 |
1,565 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
361 |
361 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
137 |
136 |
$3K |
| 99051 |
|
185 |
184 |
$3K |
| 0071A |
|
54 |
54 |
$2K |
| 99188 |
|
71 |
71 |
$2K |
| 92552 |
|
47 |
47 |
$879.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
73 |
$874.93 |
| 99177 |
|
68 |
68 |
$611.10 |
| 0072A |
|
13 |
13 |
$596.44 |
| 94760 |
|
96 |
93 |
$236.28 |
| 92587 |
|
12 |
12 |
$202.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$186.96 |