| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,345 |
2,276 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
830 |
811 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,462 |
1,459 |
$72K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
345 |
343 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
465 |
465 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
409 |
400 |
$32K |
| 90461 |
|
686 |
686 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,122 |
2,106 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,445 |
1,410 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
182 |
$15K |
| 99173 |
|
601 |
601 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$8K |
| 96127 |
|
735 |
720 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
287 |
287 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
208 |
206 |
$5K |
| 0071A |
|
42 |
42 |
$2K |
| 99188 |
|
42 |
42 |
$1K |
| 0072A |
|
14 |
14 |
$642.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
45 |
$537.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$522.24 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$402.35 |
| 92551 |
|
32 |
32 |
$324.66 |
| 99051 |
|
18 |
18 |
$298.08 |
| 94760 |
|
68 |
67 |
$165.44 |
| 85018 |
|
39 |
39 |
$95.02 |
| 99177 |
|
12 |
12 |
$44.64 |