| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
256 |
$10K |
| 99460 |
|
114 |
112 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
104 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
105 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
81 |
$5K |
| 90723 |
|
168 |
168 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
232 |
$3K |
| 99462 |
|
79 |
67 |
$2K |
| 99188 |
|
148 |
148 |
$2K |
| 90686 |
|
242 |
240 |
$1K |
| 90670 |
|
224 |
214 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$919.39 |
| 90647 |
|
131 |
127 |
$737.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
56 |
$590.60 |
| 90681 |
|
26 |
26 |
$153.92 |
| 90633 |
|
12 |
12 |
$70.64 |
| 90651 |
|
12 |
12 |
$70.54 |