| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,776 |
3,997 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
1,229 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
621 |
615 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
519 |
518 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,941 |
1,917 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
285 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,103 |
1,098 |
$17K |
| 99188 |
|
703 |
699 |
$17K |
| 36410 |
|
602 |
593 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
321 |
$9K |
| 92552 |
|
384 |
381 |
$6K |
| 36406 |
|
218 |
218 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
785 |
763 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
95 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
524 |
523 |
$3K |
| 83655 |
|
171 |
171 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90686 |
|
77 |
77 |
$1K |
| 99173 |
|
434 |
433 |
$1K |
| 69210 |
|
38 |
37 |
$915.77 |
| 92587 |
|
80 |
80 |
$810.08 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$732.27 |
| 99460 |
|
12 |
12 |
$691.17 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$600.00 |
| 36415 |
Collection of venous blood by venipuncture |
128 |
128 |
$252.90 |
| 92551 |
|
26 |
26 |
$161.03 |
| 97802 |
|
40 |
40 |
$22.99 |
| 99000 |
|
13 |
13 |
$0.00 |