| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,349 |
7,266 |
$534K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
946 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
703 |
$70K |
| 99173 |
|
2,519 |
2,509 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,880 |
3,831 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
440 |
438 |
$40K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,857 |
3,821 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
135 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
65 |
$2K |