| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,186 |
964 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,408 |
1,228 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
654 |
611 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
146 |
$10K |
| 90670 |
|
477 |
443 |
$5K |
| 99460 |
|
77 |
76 |
$4K |
| 90686 |
|
296 |
278 |
$2K |
| 90680 |
|
255 |
228 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
47 |
$2K |
| 90633 |
|
176 |
168 |
$1K |
| 90647 |
|
164 |
150 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90698 |
|
163 |
156 |
$1K |
| 90723 |
|
105 |
92 |
$931.00 |
| 90744 |
|
124 |
115 |
$793.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$671.81 |
| 99462 |
|
14 |
13 |
$229.60 |
| 90700 |
|
28 |
26 |
$179.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 90461 |
|
628 |
580 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
906 |
834 |
$0.00 |