| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,528 |
19,052 |
$1.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,043 |
2,969 |
$386K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,207 |
2,160 |
$330K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,036 |
1,036 |
$162K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,249 |
3,088 |
$120K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,370 |
5,364 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
416 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,452 |
3,448 |
$48K |
| 99442 |
|
255 |
248 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
269 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
28 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
229 |
225 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
62 |
62 |
$6K |
| 90686 |
|
602 |
602 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$4K |
| 41010 |
|
13 |
13 |
$3K |
| 99443 |
|
14 |
13 |
$838.35 |
| 0002A |
|
17 |
17 |
$680.00 |
| 90473 |
|
25 |
25 |
$424.00 |
| 82962 |
|
13 |
12 |
$37.96 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
119 |
119 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |
| 96160 |
|
238 |
238 |
$0.00 |