| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,783 |
14,170 |
$655K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,711 |
5,608 |
$273K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,455 |
4,998 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,307 |
9,913 |
$210K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,715 |
2,624 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,757 |
1,726 |
$89K |
| 90461 |
|
4,783 |
4,670 |
$84K |
| 90697 |
|
308 |
290 |
$23K |
| 90670 |
|
1,820 |
1,723 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
367 |
366 |
$21K |
| 99381 |
|
318 |
310 |
$16K |
| 90710 |
|
389 |
384 |
$15K |
| 90686 |
|
1,131 |
1,102 |
$7K |
| 90696 |
|
254 |
250 |
$3K |
| 99460 |
|
25 |
25 |
$3K |
| 90633 |
|
491 |
471 |
$2K |
| 90680 |
|
1,026 |
954 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
39 |
$1K |
| 90734 |
|
29 |
28 |
$1K |
| 90723 |
|
161 |
160 |
$900.50 |
| 99383 |
|
12 |
12 |
$801.85 |
| 90698 |
|
610 |
576 |
$745.86 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$726.65 |
| 90700 |
|
234 |
229 |
$515.88 |
| 90648 |
|
442 |
418 |
$332.26 |
| 90707 |
|
40 |
40 |
$259.68 |
| 90688 |
|
13 |
13 |
$206.59 |
| 90716 |
|
12 |
12 |
$150.00 |
| 90715 |
|
15 |
15 |
$104.82 |
| 90744 |
|
65 |
65 |
$82.76 |