| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,840 |
11,160 |
$907K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,034 |
4,524 |
$494K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,997 |
1,743 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,319 |
1,253 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,064 |
4,668 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,591 |
5,118 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,544 |
2,360 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
731 |
696 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
730 |
648 |
$38K |
| 92551 |
|
1,910 |
1,809 |
$21K |
| 90671 |
|
220 |
189 |
$21K |
| 99460 |
|
313 |
278 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
210 |
$17K |
| 90670 |
|
952 |
882 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
288 |
102 |
$13K |
| 99215 |
Prolong outpt/office vis |
115 |
102 |
$13K |
| 99173 |
|
1,807 |
1,714 |
$12K |
| 99058 |
|
1,004 |
908 |
$11K |
| 90698 |
|
798 |
722 |
$8K |
| 90681 |
|
616 |
557 |
$7K |
| 90658 |
|
1,251 |
1,195 |
$5K |
| 90657 |
|
505 |
480 |
$5K |
| 99496 |
|
26 |
25 |
$5K |
| 90744 |
|
241 |
216 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
30 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 90649 |
|
161 |
156 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 90716 |
|
45 |
43 |
$925.74 |
| 90633 |
|
126 |
123 |
$917.61 |
| 90620 |
|
90 |
87 |
$584.45 |
| 90619 |
|
13 |
13 |
$580.00 |
| 90707 |
|
40 |
38 |
$527.88 |
| 99462 |
|
21 |
12 |
$489.14 |
| 90734 |
|
59 |
58 |
$361.19 |
| 90696 |
|
13 |
13 |
$129.31 |
| 90715 |
|
12 |
12 |
$0.00 |