| 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 |
2,509 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
242 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
786 |
757 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
613 |
591 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
82 |
81 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
144 |
135 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
225 |
216 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
656 |
626 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
51 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,290 |
1,088 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$2K |
| X5622 |
|
525 |
514 |
$2K |
| V5008 |
Hearing screening |
378 |
367 |
$2K |
| 90686 |
|
262 |
256 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$1K |
| 99188 |
|
88 |
85 |
$968.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$718.76 |
| 81001 |
|
322 |
288 |
$695.25 |
| 99173 |
|
605 |
584 |
$678.58 |
| 92552 |
|
43 |
43 |
$662.34 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$427.53 |
| 85027 |
|
65 |
64 |
$419.61 |
| 96161 |
|
31 |
28 |
$70.73 |
| 81003 |
|
17 |
13 |
$38.25 |
| 85018 |
|
12 |
12 |
$28.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
81 |
$16.53 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
16 |
$0.00 |