| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,939 |
2,870 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,215 |
1,185 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,501 |
1,913 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
606 |
606 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
502 |
502 |
$46K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
313 |
310 |
$43K |
| 99173 |
|
1,495 |
1,494 |
$33K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,822 |
2,820 |
$26K |
| 96127 |
|
1,672 |
1,657 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
194 |
$16K |
| 90461 |
|
404 |
404 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,181 |
1,169 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
549 |
547 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
90 |
$7K |
| 99051 |
|
186 |
186 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
130 |
130 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
102 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 92552 |
|
30 |
29 |
$652.67 |
| 99177 |
|
25 |
25 |
$310.50 |
| 94760 |
|
56 |
56 |
$141.68 |
| 90686 |
|
15 |
15 |
$67.55 |