| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,860 |
3,488 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,057 |
1,941 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,231 |
2,082 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,745 |
1,701 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,462 |
1,427 |
$33K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
647 |
633 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
396 |
378 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,754 |
1,710 |
$851.90 |
| 17110 |
|
12 |
12 |
$750.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$289.80 |
| 96127 |
|
91 |
82 |
$20.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
328 |
319 |
$0.00 |