| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,660 |
1,645 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
391 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
908 |
736 |
$29K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
183 |
181 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,223 |
1,222 |
$11K |
| 99173 |
|
416 |
416 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$7K |
| 96127 |
|
648 |
644 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
199 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
138 |
138 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
244 |
237 |
$3K |
| 99051 |
|
83 |
83 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90461 |
|
29 |
29 |
$1K |
| 0072A |
|
14 |
14 |
$642.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$158.73 |