| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,091 |
1,873 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
970 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,713 |
1,339 |
$36K |
| 92587 |
|
712 |
681 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,094 |
958 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,295 |
1,278 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,113 |
1,101 |
$10K |
| 99173 |
|
515 |
513 |
$10K |
| 85018 |
|
1,582 |
1,569 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$3K |
| 80061 |
Lipid panel |
148 |
144 |
$889.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$224.95 |
| 82947 |
|
52 |
52 |
$175.42 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$65.00 |
| 90688 |
|
13 |
12 |
$18.68 |
| 90661 |
|
34 |
34 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |