| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,898 |
5,747 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
678 |
670 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
547 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
391 |
$16K |
| 99441 |
|
1,143 |
1,043 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
252 |
248 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
181 |
$6K |
| 96127 |
|
561 |
518 |
$2K |
| 99442 |
|
102 |
95 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
205 |
204 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
27 |
$720.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
127 |
$228.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$162.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$157.81 |
| 90656 |
|
24 |
24 |
$19.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,823 |
2,551 |
$0.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| 1036F |
|
447 |
434 |
$0.00 |
| 90658 |
|
98 |
98 |
$0.00 |