| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,366 |
1,984 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,603 |
1,317 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
729 |
657 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
522 |
467 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
352 |
$38K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,523 |
2,271 |
$17K |
| 99070 |
|
2,014 |
1,770 |
$16K |
| 92551 |
|
1,424 |
1,275 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
86 |
$9K |
| 96127 |
|
1,868 |
1,641 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,340 |
1,178 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
443 |
376 |
$5K |
| 90658 |
|
211 |
195 |
$4K |
| 81002 |
|
1,195 |
1,070 |
$3K |
| 99173 |
|
1,172 |
1,041 |
$3K |
| 90461 |
|
400 |
342 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
123 |
$2K |
| 90670 |
|
94 |
62 |
$2K |
| 90698 |
|
70 |
49 |
$1K |
| 99058 |
|
31 |
29 |
$280.00 |
| 90734 |
|
14 |
12 |
$279.36 |
| 96161 |
|
53 |
25 |
$51.77 |
| 99072 |
|
100 |
96 |
$27.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
34 |
30 |
$0.46 |
| 99071 |
|
13 |
13 |
$0.00 |