| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,272 |
1,260 |
$48K |
| 99381 |
|
155 |
154 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
289 |
$8K |
| 90670 |
|
1,167 |
1,165 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
190 |
190 |
$5K |
| 90698 |
|
1,107 |
1,105 |
$5K |
| 90680 |
|
1,091 |
1,089 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
213 |
211 |
$4K |
| 90744 |
|
696 |
695 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
39 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
96 |
75 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
313 |
281 |
$2K |
| 90461 |
|
166 |
166 |
$2K |
| 90685 |
|
180 |
171 |
$1K |
| 90686 |
|
197 |
194 |
$1K |
| 90473 |
|
111 |
111 |
$770.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$638.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
511 |
$355.50 |
| 92551 |
|
58 |
58 |
$331.70 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
39 |
$99.00 |
| 90633 |
|
28 |
28 |
$46.00 |
| 90716 |
|
13 |
13 |
$19.00 |
| 90707 |
|
13 |
13 |
$19.00 |
| 97802 |
|
41 |
41 |
$0.01 |
| 3008F |
|
40 |
40 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
40 |
40 |
$0.00 |