| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,803 |
7,176 |
$357K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
856 |
755 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
888 |
878 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,334 |
2,286 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
663 |
644 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,564 |
3,479 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,379 |
2,349 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,101 |
1,030 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
219 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
376 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$570.90 |
| 85018 |
|
72 |
72 |
$148.67 |
| 90661 |
|
65 |
64 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90677 |
|
100 |
97 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90651 |
|
27 |
26 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90656 |
|
44 |
43 |
$0.00 |