| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,447 |
8,410 |
$467K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,136 |
2,017 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
892 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
703 |
703 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,666 |
3,663 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
627 |
625 |
$35K |
| 99050 |
|
1,859 |
1,801 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,402 |
2,375 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,051 |
1,985 |
$28K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,674 |
1,667 |
$14K |
| 99173 |
|
736 |
736 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
147 |
$6K |
| 99188 |
|
107 |
107 |
$3K |
| 92551 |
|
260 |
260 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$2K |
| 81002 |
|
723 |
695 |
$2K |
| 81025 |
|
54 |
53 |
$398.04 |
| 90658 |
|
54 |
54 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 96127 |
|
1,121 |
1,114 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |