| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,153 |
12,394 |
$752K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,883 |
4,846 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,136 |
1,134 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,128 |
1,128 |
$96K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,838 |
6,807 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
604 |
604 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,515 |
5,487 |
$55K |
| 99051 |
|
3,769 |
3,654 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
557 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
538 |
532 |
$44K |
| 92552 |
|
1,336 |
1,333 |
$33K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
471 |
136 |
$28K |
| 99173 |
|
1,513 |
1,509 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
690 |
667 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,487 |
1,237 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,190 |
2,156 |
$25K |
| 99188 |
|
723 |
722 |
$19K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
172 |
97 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
23 |
22 |
$5K |
| 92587 |
|
460 |
295 |
$5K |
| 85018 |
|
1,319 |
1,311 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
169 |
$3K |
| 81002 |
|
890 |
864 |
$2K |
| 90656 |
|
898 |
897 |
$2K |
| 90461 |
|
610 |
610 |
$2K |
| 99050 |
|
45 |
45 |
$693.04 |
| 82465 |
|
143 |
142 |
$627.65 |
| 99000 |
|
1,006 |
994 |
$294.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$177.61 |
| 92015 |
Determination of refractive state |
12 |
12 |
$154.56 |
| 90688 |
|
218 |
217 |
$99.48 |
| 90686 |
|
117 |
117 |
$17.03 |
| 90670 |
|
273 |
273 |
$0.00 |
| 90633 |
|
52 |
51 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 96127 |
|
1,416 |
1,413 |
$0.00 |
| 36416 |
|
428 |
422 |
$0.00 |
| 90698 |
|
221 |
221 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90657 |
|
152 |
152 |
$0.00 |
| 90651 |
|
57 |
57 |
$0.00 |
| 90680 |
|
97 |
97 |
$0.00 |