| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,530 |
6,888 |
$102K |
| 87428 |
|
543 |
516 |
$33K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
597 |
573 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
992 |
907 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,171 |
2,080 |
$11K |
| 99072 |
|
4,729 |
4,281 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
304 |
288 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
150 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
139 |
$4K |
| 99460 |
|
78 |
78 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
52 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
206 |
$2K |
| 0071A |
|
50 |
48 |
$2K |
| 0072A |
|
44 |
41 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,396 |
1,174 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
493 |
230 |
$1K |
| 92551 |
|
1,523 |
1,447 |
$897.92 |
| 96127 |
|
985 |
876 |
$690.35 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$436.43 |
| 90461 |
|
298 |
287 |
$279.97 |
| 99173 |
|
1,653 |
1,569 |
$249.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$239.11 |
| 90686 |
|
811 |
780 |
$220.84 |
| 99051 |
|
138 |
134 |
$76.64 |
| 90656 |
|
82 |
78 |
$22.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$14.05 |
| 90685 |
|
106 |
101 |
$4.00 |
| 90670 |
|
111 |
107 |
$0.00 |
| 90707 |
|
40 |
39 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 36416 |
|
90 |
84 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
277 |
263 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
642 |
590 |
$0.00 |
| 90688 |
|
240 |
238 |
$0.00 |
| 94760 |
|
46 |
40 |
$0.00 |
| 85018 |
|
40 |
39 |
$0.00 |
| 90680 |
|
15 |
14 |
$0.00 |
| 90698 |
|
16 |
15 |
$0.00 |