| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,831 |
1,792 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,618 |
992 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
437 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
295 |
295 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
249 |
$21K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
143 |
142 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
137 |
$12K |
| 99173 |
|
528 |
528 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,238 |
1,236 |
$11K |
| 96127 |
|
769 |
762 |
$9K |
| 90461 |
|
205 |
205 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
481 |
464 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
57 |
$4K |
| 92558 |
|
93 |
93 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
131 |
$3K |
| 99051 |
|
127 |
127 |
$2K |
| 99177 |
|
128 |
128 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
48 |
48 |
$1K |
| 0071A |
|
16 |
16 |
$734.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$165.34 |
| 90686 |
|
41 |
41 |
$107.51 |