| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
3,789 |
260 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,299 |
4,707 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,923 |
6,204 |
$215K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,030 |
2,017 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,215 |
1,130 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
843 |
839 |
$94K |
| 92552 |
|
1,180 |
1,164 |
$7K |
| 97535 |
Self-care/home management training, each 15 minutes |
62 |
12 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
445 |
429 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,192 |
2,152 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 99051 |
|
1,289 |
1,236 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
817 |
783 |
$568.25 |
| 99050 |
|
303 |
295 |
$166.61 |
| 99173 |
|
159 |
159 |
$25.00 |