| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,405 |
4,959 |
$694K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,370 |
3,601 |
$309K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,205 |
1,105 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,024 |
977 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,108 |
835 |
$98K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,359 |
3,713 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
401 |
370 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,528 |
2,990 |
$28K |
| 90658 |
|
836 |
802 |
$18K |
| 90647 |
|
770 |
692 |
$16K |
| 90670 |
|
734 |
652 |
$15K |
| 86328 |
|
300 |
264 |
$12K |
| 90723 |
|
447 |
395 |
$9K |
| 90680 |
|
400 |
347 |
$8K |
| 96160 |
|
2,896 |
2,543 |
$8K |
| 96127 |
|
1,251 |
1,107 |
$6K |
| 90657 |
|
284 |
271 |
$6K |
| 90633 |
|
275 |
254 |
$6K |
| 90707 |
|
269 |
244 |
$6K |
| 90716 |
|
271 |
246 |
$6K |
| 99381 |
|
44 |
40 |
$4K |
| 90651 |
|
189 |
169 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
738 |
647 |
$3K |
| 99173 |
|
1,363 |
1,262 |
$3K |
| 36410 |
|
299 |
266 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
221 |
195 |
$3K |
| 90733 |
|
121 |
105 |
$2K |
| 90620 |
|
112 |
103 |
$2K |
| 90715 |
|
114 |
101 |
$2K |
| 0001A |
|
59 |
59 |
$2K |
| 0002A |
|
51 |
50 |
$2K |
| 90696 |
|
58 |
54 |
$1K |
| 83655 |
|
92 |
85 |
$1K |
| 90700 |
|
19 |
13 |
$302.31 |
| 97802 |
|
25 |
24 |
$300.30 |
| 96161 |
|
89 |
50 |
$224.37 |