| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,840 |
1,540 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
602 |
599 |
$17K |
| 99188 |
|
435 |
435 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
771 |
760 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
732 |
722 |
$7K |
| 92552 |
|
208 |
208 |
$4K |
| 97802 |
|
166 |
166 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 85018 |
|
270 |
270 |
$667.44 |
| 82465 |
|
29 |
29 |
$129.92 |
| 82947 |
|
15 |
15 |
$60.75 |