| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
70,802 |
68,196 |
$3.60M |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
134,019 |
107,357 |
$3.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,355 |
60,631 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,460 |
24,159 |
$1.35M |
| X5622 |
|
24,383 |
23,020 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22,608 |
21,763 |
$988K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21,891 |
21,128 |
$899K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,399 |
14,568 |
$590K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,630 |
12,029 |
$569K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
14,885 |
14,315 |
$394K |
| 99215 |
Prolong outpt/office vis |
4,740 |
4,379 |
$354K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,818 |
13,266 |
$271K |
| 99188 |
|
33,394 |
32,177 |
$249K |
| 92551 |
|
45,307 |
43,577 |
$236K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34,538 |
29,799 |
$183K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,092 |
15,295 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,829 |
10,286 |
$163K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,473 |
16,633 |
$129K |
| 99381 |
|
2,327 |
2,251 |
$97K |
| 96127 |
|
18,593 |
17,859 |
$54K |
| 99173 |
|
48,474 |
46,652 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
468 |
463 |
$27K |
| 99383 |
|
566 |
560 |
$25K |
| 90474 |
|
3,375 |
3,269 |
$19K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
961 |
696 |
$14K |
| 99382 |
|
308 |
305 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
260 |
$12K |
| 90670 |
|
6,778 |
6,492 |
$10K |
| 90651 |
|
3,567 |
3,387 |
$9K |
| 90461 |
|
1,330 |
1,118 |
$5K |
| 96161 |
|
3,048 |
2,931 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
172 |
98 |
$4K |
| 90734 |
|
2,468 |
2,360 |
$4K |
| 99417 |
Prolong home eval add 15m |
166 |
159 |
$4K |
| 99384 |
|
55 |
55 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
104 |
99 |
$3K |
| 90723 |
|
5,306 |
5,104 |
$2K |
| 90686 |
|
9,889 |
9,416 |
$2K |
| 90681 |
|
2,835 |
2,732 |
$1K |
| 90647 |
|
5,285 |
5,046 |
$1K |
| 90716 |
|
1,755 |
1,674 |
$1K |
| 90633 |
|
3,767 |
3,585 |
$722.45 |
| 90707 |
|
1,166 |
1,114 |
$484.83 |
| 98960 |
|
17 |
15 |
$251.37 |
| 90700 |
|
1,386 |
1,308 |
$222.58 |
| 17110 |
|
15 |
13 |
$129.69 |
| 90696 |
|
1,297 |
1,244 |
$107.95 |
| 90715 |
|
1,698 |
1,619 |
$104.84 |
| 99401 |
|
17 |
16 |
$79.01 |
| 96160 |
|
9,403 |
8,998 |
$68.27 |
| 90710 |
|
799 |
774 |
$0.00 |
| 90680 |
|
357 |
351 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |