| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,995 |
1,893 |
$115K |
| 99050 |
|
1,177 |
1,161 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
164 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
259 |
254 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
441 |
439 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
175 |
172 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
117 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 99173 |
|
48 |
48 |
$1K |
| 92551 |
|
14 |
14 |
$139.02 |
| 81002 |
|
35 |
34 |
$90.73 |
| 90461 |
|
14 |
14 |
$9.80 |
| 96127 |
|
31 |
30 |
$0.00 |