| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
1,326 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
595 |
557 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
514 |
501 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
394 |
389 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
284 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
343 |
294 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
689 |
658 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,004 |
965 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
837 |
811 |
$8K |
| 99460 |
|
67 |
55 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
46 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
128 |
$3K |
| 99051 |
|
63 |
63 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
64 |
$820.20 |
| 90473 |
|
39 |
37 |
$409.26 |
| 81002 |
|
49 |
46 |
$101.90 |
| 94760 |
|
38 |
37 |
$92.87 |
| 90686 |
|
77 |
75 |
$4.65 |