| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,001 |
5,623 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,361 |
2,321 |
$218K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,928 |
1,927 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,880 |
3,808 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,081 |
1,080 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,094 |
1,085 |
$98K |
| 92552 |
|
3,878 |
3,844 |
$96K |
| 99173 |
|
3,236 |
3,211 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,188 |
5,987 |
$63K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,384 |
6,189 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
535 |
507 |
$45K |
| 90461 |
|
962 |
948 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
90 |
$4K |
| 99072 |
|
62 |
61 |
$0.00 |