| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,939 |
2,536 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
399 |
365 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
303 |
$19K |
| 92551 |
|
812 |
787 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
104 |
$4K |
| 99173 |
|
800 |
775 |
$4K |
| 90670 |
|
119 |
116 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
41 |
$2K |
| 90648 |
|
126 |
126 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
38 |
$688.50 |
| 99462 |
|
33 |
24 |
$654.40 |
| 90686 |
|
30 |
29 |
$543.86 |
| 90680 |
|
40 |
39 |
$488.90 |
| 90677 |
|
13 |
13 |
$476.83 |
| 90723 |
|
38 |
38 |
$468.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$196.20 |
| 90700 |
|
12 |
12 |
$177.03 |
| 90633 |
|
12 |
12 |
$132.00 |
| 90688 |
|
12 |
12 |
$124.65 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$90.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 96161 |
|
55 |
52 |
$0.00 |