| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,019 |
1,951 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,102 |
1,062 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,295 |
1,286 |
$61K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
252 |
250 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
281 |
281 |
$23K |
| 90461 |
|
458 |
455 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,633 |
1,625 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
170 |
166 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,179 |
1,138 |
$13K |
| 96127 |
|
674 |
635 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
80 |
$7K |
| 99173 |
|
293 |
293 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
179 |
177 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
189 |
$4K |
| 0072A |
|
26 |
26 |
$1K |
| 99051 |
|
53 |
53 |
$877.68 |
| 99188 |
|
29 |
29 |
$754.00 |
| 0071A |
|
14 |
14 |
$642.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$195.36 |
| 94760 |
|
42 |
39 |
$106.26 |