| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,592 |
5,596 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
404 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,312 |
1,260 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
250 |
248 |
$14K |
| 3008F |
|
3,277 |
2,936 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,438 |
1,371 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$8K |
| 92552 |
|
736 |
726 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
279 |
264 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
91 |
$5K |
| 92567 |
|
453 |
418 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
179 |
$3K |
| 99173 |
|
841 |
828 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
226 |
223 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
222 |
$2K |
| 90686 |
|
95 |
94 |
$1K |
| 92587 |
|
27 |
25 |
$672.01 |
| 99401 |
|
27 |
27 |
$326.10 |
| 96127 |
|
89 |
88 |
$224.26 |
| 99000 |
|
25 |
25 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |