| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,990 |
5,478 |
$366K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,372 |
5,162 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,817 |
1,739 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,901 |
1,901 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,881 |
1,877 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,375 |
1,375 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,161 |
1,152 |
$92K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,804 |
6,792 |
$62K |
| 90461 |
|
2,079 |
2,071 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,810 |
2,803 |
$29K |
| 96127 |
|
2,619 |
2,618 |
$28K |
| 36416 |
|
655 |
654 |
$7K |
| 83655 |
|
552 |
549 |
$6K |
| 85018 |
|
2,304 |
2,298 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
296 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
135 |
$3K |
| 90473 |
|
92 |
92 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
571 |
565 |
$1K |
| 99442 |
|
56 |
54 |
$1K |
| 99000 |
|
973 |
955 |
$973.00 |
| 0071A |
|
18 |
18 |
$825.84 |
| 0001A |
|
15 |
15 |
$688.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$618.30 |
| 99173 |
|
20 |
20 |
$444.40 |
| 99050 |
|
22 |
22 |
$364.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$238.55 |