| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,196 |
2,152 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
928 |
897 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,101 |
1,556 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
565 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
507 |
507 |
$43K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
194 |
194 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,410 |
2,405 |
$22K |
| 99173 |
|
880 |
880 |
$20K |
| 90461 |
|
423 |
422 |
$15K |
| 96127 |
|
1,155 |
1,149 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,189 |
1,166 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
271 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
61 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
125 |
124 |
$3K |
| 99051 |
|
170 |
168 |
$3K |
| 99177 |
|
205 |
205 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 92587 |
|
12 |
12 |
$602.76 |
| 0071A |
|
12 |
12 |
$550.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$495.41 |
| 92552 |
|
13 |
13 |
$336.96 |
| 99442 |
|
12 |
12 |
$249.72 |
| 94760 |
|
70 |
69 |
$177.10 |