| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
315 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
383 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
383 |
271 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
176 |
156 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
731 |
568 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
84 |
$3K |
| 87428 |
|
20 |
15 |
$1K |
| 90461 |
|
257 |
179 |
$297.02 |
| 99174 |
|
39 |
25 |
$165.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
164 |
149 |
$123.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$122.62 |
| 99072 |
|
30 |
28 |
$18.14 |
| 85018 |
|
119 |
90 |
$17.39 |
| 92551 |
|
34 |
25 |
$16.84 |
| 96161 |
|
87 |
84 |
$15.79 |
| 99173 |
|
33 |
29 |
$7.23 |
| 90670 |
|
15 |
14 |
$0.00 |