| 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) |
32,466 |
30,597 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,491 |
25,709 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,946 |
13,280 |
$1.07M |
| X5622 |
|
11,322 |
10,414 |
$520K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,610 |
7,511 |
$468K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,173 |
5,011 |
$464K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,510 |
8,038 |
$419K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,921 |
6,774 |
$408K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12,049 |
11,583 |
$400K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,628 |
4,955 |
$273K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,055 |
21,526 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,657 |
2,584 |
$182K |
| 99188 |
|
21,277 |
20,836 |
$177K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,234 |
10,010 |
$133K |
| 92551 |
|
17,643 |
17,221 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,331 |
13,957 |
$82K |
| 99215 |
Prolong outpt/office vis |
732 |
714 |
$77K |
| 81000 |
|
13,155 |
12,673 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,036 |
1,001 |
$39K |
| 96127 |
|
8,250 |
7,900 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,841 |
2,698 |
$23K |
| 99173 |
|
17,562 |
17,139 |
$21K |
| 36416 |
|
6,237 |
5,924 |
$16K |
| 87634 |
|
212 |
210 |
$14K |
| 0071A |
|
360 |
327 |
$13K |
| 0072A |
|
327 |
312 |
$13K |
| 83655 |
|
1,193 |
1,172 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
453 |
443 |
$11K |
| 90474 |
|
1,466 |
1,457 |
$10K |
| 87070 |
|
1,883 |
1,801 |
$10K |
| 80061 |
Lipid panel |
705 |
695 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
923 |
884 |
$6K |
| 85018 |
|
2,922 |
2,881 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
707 |
675 |
$6K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
654 |
566 |
$4K |
| 90686 |
|
7,537 |
7,367 |
$4K |
| 99381 |
|
47 |
41 |
$3K |
| 96161 |
|
2,712 |
2,604 |
$3K |
| 81003 |
|
1,422 |
1,395 |
$3K |
| 99072 |
|
454 |
405 |
$2K |
| 82947 |
|
696 |
691 |
$2K |
| 0002A |
|
98 |
97 |
$2K |
| 0001A |
|
97 |
96 |
$2K |
| 99383 |
|
32 |
32 |
$1K |
| 90621 |
|
68 |
67 |
$1K |
| 0054A |
|
31 |
31 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
71 |
$1K |
| 90480 |
|
40 |
40 |
$1K |
| 90651 |
|
1,227 |
1,210 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
381 |
377 |
$999.09 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$993.54 |
| 90677 |
|
241 |
230 |
$532.53 |
| 96160 |
|
11,702 |
11,114 |
$521.74 |
| 90715 |
|
483 |
482 |
$490.73 |
| 90656 |
|
777 |
773 |
$394.21 |
| 90734 |
|
626 |
621 |
$356.46 |
| 90670 |
|
2,916 |
2,864 |
$237.57 |
| 90688 |
|
1,236 |
1,228 |
$224.32 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$149.15 |
| 90716 |
|
1,356 |
1,344 |
$121.59 |
| 84450 |
|
25 |
25 |
$112.14 |
| 84460 |
|
25 |
25 |
$105.86 |
| 90696 |
|
221 |
220 |
$88.22 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,620 |
2,504 |
$79.19 |
| 99051 |
|
494 |
474 |
$31.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
363 |
328 |
$25.32 |
| 90685 |
|
456 |
453 |
$0.00 |
| 90707 |
|
1,239 |
1,226 |
$0.00 |
| 90633 |
|
1,513 |
1,499 |
$0.00 |
| 90698 |
|
2,865 |
2,833 |
$0.00 |
| 90680 |
|
1,531 |
1,518 |
$0.00 |
| 90697 |
|
91 |
87 |
$0.00 |
| 90744 |
|
1,125 |
1,116 |
$0.00 |
| 90619 |
|
151 |
143 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
52 |
$0.00 |