| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,226 |
9,164 |
$528K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,736 |
1,728 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,480 |
1,470 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,210 |
1,206 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,649 |
4,594 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,092 |
1,038 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,534 |
1,462 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,957 |
5,879 |
$59K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,996 |
4,915 |
$47K |
| 99188 |
|
1,455 |
1,439 |
$38K |
| 90461 |
|
1,528 |
1,514 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,541 |
1,506 |
$19K |
| 83655 |
|
663 |
656 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
395 |
395 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
488 |
380 |
$5K |
| 85018 |
|
2,253 |
2,240 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$5K |
| 92552 |
|
163 |
159 |
$4K |
| 99050 |
|
129 |
125 |
$2K |
| 99173 |
|
77 |
74 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
54 |
$2K |
| 99051 |
|
88 |
88 |
$1K |
| 83718 |
|
194 |
193 |
$1K |
| 82465 |
|
166 |
164 |
$659.35 |
| 0072A |
|
16 |
15 |
$504.57 |
| 0071A |
|
17 |
17 |
$458.70 |
| 90473 |
|
14 |
14 |
$230.10 |
| ATP03 |
|
27 |
27 |
$187.65 |
| 99177 |
|
182 |
180 |
$93.00 |
| 81002 |
|
26 |
26 |
$66.82 |
| 90686 |
|
2,102 |
2,094 |
$19.03 |
| 94760 |
|
43 |
39 |
$5.06 |
| 90670 |
|
408 |
407 |
$0.00 |
| 90633 |
|
346 |
346 |
$0.00 |
| 80061 |
Lipid panel |
27 |
27 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90698 |
|
457 |
456 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90680 |
|
218 |
218 |
$0.00 |
| 90651 |
|
149 |
149 |
$0.00 |
| 90744 |
|
40 |
40 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 91307 |
|
33 |
33 |
$0.00 |
| 99000 |
|
42 |
42 |
$0.00 |