| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,111 |
8,936 |
$825K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,150 |
1,126 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,925 |
1,810 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
360 |
360 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,836 |
1,821 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
196 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,311 |
1,287 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
909 |
902 |
$8K |
| 99050 |
|
71 |
69 |
$2K |
| 85018 |
|
527 |
525 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90688 |
|
77 |
77 |
$0.00 |