| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,056 |
2,049 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,035 |
2,928 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,763 |
1,718 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,456 |
1,454 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,492 |
3,454 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,414 |
1,358 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
725 |
725 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,909 |
1,869 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
120 |
113 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$3K |
| 99460 |
|
25 |
25 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99173 |
|
690 |
678 |
$853.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
45 |
$822.40 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
14 |
$813.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$265.18 |
| 94760 |
|
22 |
21 |
$32.88 |
| 92551 |
|
20 |
20 |
$25.00 |
| 90670 |
|
194 |
187 |
$0.00 |
| 90647 |
|
99 |
94 |
$0.00 |
| 90723 |
|
118 |
114 |
$0.00 |