| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
1,095 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
794 |
781 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
920 |
916 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
906 |
902 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
48 |
$8K |
| 85018 |
|
268 |
268 |
$642.19 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$402.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$380.03 |
| 81002 |
|
99 |
99 |
$276.52 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$83.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$35.70 |
| 99000 |
|
17 |
17 |
$16.50 |
| 90656 |
|
36 |
36 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |