| 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) |
6,859 |
6,427 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,993 |
5,373 |
$304K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,555 |
3,383 |
$85K |
| X5622 |
|
2,184 |
2,027 |
$72K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
458 |
419 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
914 |
873 |
$57K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
661 |
635 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
313 |
$17K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
755 |
693 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
218 |
$14K |
| 90461 |
|
602 |
577 |
$12K |
| 87631 |
|
73 |
69 |
$10K |
| 92551 |
|
1,599 |
1,527 |
$9K |
| 99188 |
|
1,280 |
1,238 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
138 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
677 |
$5K |
| 90686 |
|
1,130 |
1,102 |
$3K |
| 90480 |
|
71 |
70 |
$3K |
| 0072A |
|
49 |
49 |
$2K |
| 99173 |
|
1,541 |
1,476 |
$2K |
| 0071A |
|
45 |
44 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
312 |
297 |
$2K |
| 96160 |
|
3,093 |
2,826 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
268 |
$1K |
| 91321 |
|
40 |
39 |
$925.16 |
| 0112A |
|
20 |
15 |
$574.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
139 |
$528.84 |
| 96127 |
|
75 |
75 |
$254.53 |
| 90656 |
|
118 |
118 |
$150.31 |
| 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) |
222 |
199 |
$66.02 |
| 90698 |
|
25 |
25 |
$63.63 |
| 36416 |
|
15 |
14 |
$3.06 |
| 91307 |
|
134 |
126 |
$0.00 |
| 87070 |
|
28 |
28 |
$0.00 |
| 90670 |
|
38 |
36 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |