| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,925 |
7,726 |
$545K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,575 |
3,492 |
$285K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,498 |
3,253 |
$235K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,233 |
2,184 |
$181K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,429 |
5,239 |
$148K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,196 |
7,887 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,250 |
1,232 |
$113K |
| 90700 |
|
3,009 |
2,911 |
$20K |
| 90648 |
|
2,296 |
2,210 |
$18K |
| 90670 |
|
1,900 |
1,821 |
$16K |
| 90713 |
|
2,446 |
2,355 |
$15K |
| 90633 |
|
1,143 |
1,103 |
$11K |
| 90744 |
|
1,152 |
1,083 |
$8K |
| 90680 |
|
1,303 |
1,247 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
105 |
$7K |
| 90658 |
|
610 |
585 |
$6K |
| 90657 |
|
300 |
291 |
$5K |
| 90716 |
|
883 |
862 |
$5K |
| 90707 |
|
887 |
864 |
$5K |
| 99460 |
|
25 |
25 |
$2K |
| 90715 |
|
189 |
187 |
$591.16 |
| 90734 |
|
325 |
319 |
$566.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$346.50 |
| 90474 |
|
24 |
24 |
$196.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$111.96 |
| 90671 |
|
303 |
299 |
$105.00 |
| 90686 |
|
635 |
625 |
$27.00 |
| 90651 |
|
128 |
125 |
$15.00 |