| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,152 |
5,722 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
434 |
302 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,946 |
2,208 |
$29K |
| 90670 |
|
276 |
172 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
410 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
295 |
233 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,258 |
881 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
90 |
$8K |
| 90686 |
|
1,144 |
901 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
509 |
411 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
33 |
$3K |
| 90681 |
|
53 |
36 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
94 |
$3K |
| 90723 |
|
87 |
54 |
$2K |
| 99460 |
|
31 |
25 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
426 |
406 |
$971.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
13 |
$908.27 |
| 90734 |
|
18 |
16 |
$844.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$665.62 |
| 99442 |
|
22 |
13 |
$427.60 |
| 90647 |
|
65 |
39 |
$379.44 |
| 90633 |
|
50 |
40 |
$204.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
31 |
$203.45 |
| 90715 |
|
16 |
12 |
$123.90 |
| 99173 |
|
72 |
67 |
$29.26 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99050 |
|
16 |
15 |
$0.00 |