| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,315 |
4,019 |
$241K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,095 |
4,752 |
$217K |
| 99215 |
Prolong outpt/office vis |
1,366 |
1,315 |
$84K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,810 |
1,809 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
408 |
408 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,330 |
1,330 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
257 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
85 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
176 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
113 |
112 |
$966.42 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$527.34 |
| 99442 |
|
258 |
247 |
$404.88 |
| 99188 |
|
12 |
12 |
$312.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$265.85 |
| 99443 |
|
147 |
139 |
$235.18 |
| 1123F |
|
211 |
211 |
$0.00 |