| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,192 |
5,166 |
$714K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,314 |
1,139 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,754 |
13,379 |
$110K |
| 90832 |
Psychotherapy, 30 minutes with patient |
735 |
688 |
$101K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,259 |
11,078 |
$76K |
| 96127 |
|
6,795 |
6,530 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,815 |
3,718 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,275 |
5,125 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,618 |
7,018 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
736 |
723 |
$22K |
| 90480 |
|
469 |
409 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,388 |
1,335 |
$17K |
| 92552 |
|
596 |
581 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
39 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,891 |
1,883 |
$7K |
| 99188 |
|
204 |
200 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,108 |
1,093 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
570 |
564 |
$2K |
| 99051 |
|
247 |
247 |
$790.78 |
| 99173 |
|
372 |
368 |
$752.45 |
| 90686 |
|
841 |
841 |
$531.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
522 |
518 |
$467.60 |
| 90461 |
|
24 |
24 |
$257.40 |
| 99177 |
|
64 |
64 |
$239.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$133.01 |
| 90656 |
|
110 |
110 |
$53.07 |
| 99072 |
|
55 |
54 |
$8.52 |
| 90677 |
|
483 |
483 |
$0.00 |
| 90680 |
|
163 |
163 |
$0.00 |
| 90697 |
|
207 |
207 |
$0.00 |
| 90651 |
|
54 |
54 |
$0.00 |
| 91319 |
|
16 |
16 |
$0.00 |
| 90661 |
|
1,114 |
1,106 |
$0.00 |
| 90633 |
|
51 |
51 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |