| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,382 |
1,318 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
534 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
239 |
239 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
304 |
299 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
57 |
57 |
$1K |
| 90688 |
|
40 |
40 |
$659.60 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$365.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$114.55 |
| 96127 |
|
12 |
12 |
$94.98 |