| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,381 |
2,335 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
918 |
895 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,631 |
1,270 |
$54K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
253 |
252 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
206 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,759 |
1,748 |
$16K |
| 99173 |
|
702 |
699 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
158 |
$13K |
| 96127 |
|
1,010 |
983 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
849 |
825 |
$9K |
| 90461 |
|
177 |
177 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
290 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
163 |
162 |
$4K |
| 99051 |
|
132 |
131 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99188 |
|
27 |
27 |
$702.00 |
| 94760 |
|
101 |
100 |
$248.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$213.64 |
| 99177 |
|
12 |
12 |
$198.00 |