| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,976 |
7,488 |
$600K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,081 |
1,957 |
$193K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,510 |
4,405 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,412 |
1,410 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,352 |
1,340 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,133 |
1,133 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,028 |
969 |
$91K |
| 92552 |
|
3,394 |
3,377 |
$88K |
| 99173 |
|
3,564 |
3,506 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,295 |
7,025 |
$75K |
| 99188 |
|
2,668 |
2,646 |
$71K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,933 |
5,831 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,220 |
1,197 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
158 |
$23K |
| 90461 |
|
1,680 |
1,643 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,223 |
1,142 |
$16K |
| 81002 |
|
2,948 |
2,860 |
$8K |
| 99050 |
|
317 |
313 |
$5K |
| 99051 |
|
141 |
138 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 94760 |
|
632 |
524 |
$1K |
| 90670 |
|
512 |
512 |
$0.00 |
| 90713 |
|
659 |
654 |
$0.00 |
| 90671 |
|
37 |
37 |
$0.00 |
| 90734 |
|
68 |
68 |
$0.00 |
| 90700 |
|
1,016 |
1,011 |
$0.00 |
| 90649 |
|
111 |
106 |
$0.00 |
| 90681 |
|
117 |
116 |
$0.00 |
| 90633 |
|
106 |
106 |
$0.00 |
| 90687 |
|
52 |
52 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90658 |
|
160 |
156 |
$0.00 |
| 90688 |
|
590 |
589 |
$0.00 |
| 90748 |
|
449 |
443 |
$0.00 |
| 90744 |
|
49 |
49 |
$0.00 |
| 90686 |
|
505 |
503 |
$0.00 |
| 90657 |
|
32 |
31 |
$0.00 |
| 90733 |
|
40 |
40 |
$0.00 |
| 90677 |
|
68 |
67 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |