| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,649 |
3,562 |
$210K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,760 |
2,908 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
967 |
951 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
810 |
810 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
764 |
764 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
672 |
672 |
$61K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
292 |
289 |
$40K |
| 99173 |
|
1,770 |
1,769 |
$39K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,579 |
3,570 |
$32K |
| 90461 |
|
907 |
906 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
327 |
324 |
$26K |
| 96127 |
|
1,903 |
1,892 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,757 |
1,730 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
469 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
190 |
188 |
$4K |
| 99051 |
|
238 |
238 |
$4K |
| 0071A |
|
73 |
73 |
$3K |
| 99177 |
|
202 |
202 |
$2K |
| 0124A |
|
41 |
41 |
$2K |
| 0072A |
|
35 |
35 |
$2K |
| 99188 |
|
50 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
103 |
$1K |
| 99442 |
|
61 |
61 |
$1K |
| 0054A |
|
13 |
13 |
$596.44 |
| 0154A |
|
12 |
12 |
$550.56 |
| 0081A |
|
12 |
12 |
$539.68 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$400.18 |
| 92552 |
|
15 |
15 |
$244.65 |
| 92587 |
|
13 |
13 |
$225.03 |
| 94760 |
|
27 |
26 |
$68.31 |
| 90686 |
|
27 |
27 |
$19.98 |