| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,054 |
16,396 |
$2.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,314 |
4,900 |
$713K |
| X5622 |
|
1,659 |
1,473 |
$368K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
987 |
835 |
$31K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
239 |
226 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,134 |
2,044 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
666 |
478 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
334 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
181 |
$3K |
| 99188 |
|
486 |
417 |
$1K |
| 90686 |
|
2,373 |
1,914 |
$624.92 |
| 36415 |
Collection of venous blood by venipuncture |
2,784 |
2,211 |
$379.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,271 |
3,454 |
$341.57 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,005 |
650 |
$289.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,102 |
802 |
$131.75 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
128 |
107 |
$91.17 |
| 96127 |
|
1,962 |
1,438 |
$17.08 |
| 99173 |
|
1,866 |
1,500 |
$0.13 |
| 92551 |
|
1,935 |
1,536 |
$0.05 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
87 |
79 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,572 |
1,670 |
$0.00 |
| 85018 |
|
172 |
159 |
$0.00 |
| 90620 |
|
48 |
27 |
$0.00 |
| 0001A |
|
64 |
62 |
$0.00 |
| 90723 |
|
34 |
28 |
$0.00 |
| 90651 |
|
51 |
50 |
$0.00 |
| 90670 |
|
234 |
182 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
893 |
741 |
$0.00 |
| 90461 |
|
390 |
368 |
$0.00 |
| 0002A |
|
56 |
56 |
$0.00 |
| 90633 |
|
38 |
30 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90685 |
|
52 |
52 |
$0.00 |