| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,185 |
4,359 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,968 |
2,827 |
$270K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,599 |
2,560 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
666 |
663 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
698 |
679 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
432 |
432 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
386 |
383 |
$37K |
| 92552 |
|
1,434 |
1,420 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,081 |
3,022 |
$32K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,088 |
3,029 |
$30K |
| 99173 |
|
1,368 |
1,357 |
$27K |
| 99188 |
|
858 |
854 |
$22K |
| 90461 |
|
567 |
561 |
$7K |
| 81000 |
|
748 |
739 |
$2K |
| 94010 |
|
187 |
162 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
34 |
$1K |
| 90686 |
|
79 |
79 |
$0.00 |
| 90657 |
|
31 |
31 |
$0.00 |
| 90658 |
|
296 |
293 |
$0.00 |
| 90672 |
|
171 |
170 |
$0.00 |
| 90670 |
|
18 |
18 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |