| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
892 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
543 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
931 |
918 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
223 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,153 |
1,117 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
105 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,114 |
1,085 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
83 |
83 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
221 |
$4K |
| 90461 |
|
109 |
109 |
$1K |
| 99442 |
|
34 |
32 |
$707.54 |
| 81003 |
|
258 |
248 |
$538.82 |
| 90686 |
|
626 |
622 |
$496.13 |
| 99441 |
|
15 |
15 |
$161.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$141.72 |
| 94760 |
|
17 |
14 |
$27.83 |
| 90651 |
|
13 |
13 |
$0.00 |