| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
305 |
303 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
648 |
634 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
207 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
451 |
450 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
194 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
173 |
$15K |
| 90461 |
|
234 |
234 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
639 |
629 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
508 |
479 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$4K |
| 99173 |
|
166 |
166 |
$4K |
| 96127 |
|
147 |
146 |
$2K |
| 92551 |
|
47 |
47 |
$508.84 |
| 99051 |
|
27 |
26 |
$447.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$395.62 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$371.40 |
| 85027 |
|
15 |
15 |
$106.73 |
| 87081 |
|
12 |
12 |
$85.50 |
| 99177 |
|
13 |
13 |
$48.36 |