| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,060 |
5,479 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,573 |
2,342 |
$237K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,716 |
2,666 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
502 |
495 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
362 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,465 |
3,384 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
283 |
283 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,472 |
2,403 |
$25K |
| 99188 |
|
638 |
629 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
851 |
826 |
$10K |
| 90461 |
|
395 |
391 |
$6K |
| 81002 |
|
2,201 |
2,149 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
368 |
239 |
$3K |
| 85018 |
|
1,268 |
1,253 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99050 |
|
63 |
63 |
$1K |
| 82465 |
|
162 |
160 |
$641.32 |
| 87400 |
|
52 |
25 |
$495.23 |
| 83655 |
|
36 |
36 |
$385.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$212.40 |
| 99441 |
|
13 |
13 |
$140.01 |
| 94760 |
|
23 |
22 |
$5.06 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
15 |
$0.00 |
| 90686 |
|
920 |
918 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |