| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,623 |
1,532 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
882 |
879 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
330 |
326 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
257 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,340 |
1,336 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,450 |
1,442 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
145 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
87 |
$9K |
| 99173 |
|
342 |
342 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
149 |
$3K |
| 81002 |
|
296 |
295 |
$845.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
46 |
$595.59 |
| 92551 |
|
41 |
41 |
$447.72 |
| 85018 |
|
37 |
37 |
$90.58 |