| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,222 |
8,020 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,035 |
1,373 |
$248K |
| X5622 |
|
664 |
620 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
31 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,158 |
928 |
$831.78 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
13 |
$261.53 |
| 80061 |
Lipid panel |
26 |
13 |
$30.36 |
| 36415 |
Collection of venous blood by venipuncture |
751 |
521 |
$26.65 |
| 92551 |
|
353 |
236 |
$8.70 |
| 99173 |
|
352 |
236 |
$2.05 |
| 99188 |
|
92 |
74 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
292 |
243 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
159 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
706 |
629 |
$0.00 |
| 90686 |
|
51 |
50 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
58 |
$0.00 |
| 96127 |
|
50 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
36 |
$0.00 |