| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,120 |
4,407 |
$235K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,768 |
2,601 |
$101K |
| X5622 |
|
1,097 |
1,038 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
843 |
809 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
131 |
128 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
497 |
483 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
727 |
594 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
50 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
22 |
22 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
93 |
91 |
$2K |
| 92551 |
|
484 |
459 |
$2K |
| 99188 |
|
210 |
204 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
24 |
$737.29 |
| 96127 |
|
232 |
223 |
$679.92 |
| 90686 |
|
750 |
734 |
$602.85 |
| 90461 |
|
45 |
45 |
$574.85 |
| 99173 |
|
432 |
409 |
$378.79 |
| 36416 |
|
13 |
12 |
$30.60 |
| 90656 |
|
49 |
49 |
$24.12 |
| 96160 |
|
1,055 |
991 |
$0.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |