| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,455 |
2,106 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,423 |
1,352 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
833 |
827 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,240 |
1,186 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
536 |
$45K |
| 99460 |
|
178 |
177 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
198 |
195 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
265 |
252 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
401 |
376 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 90474 |
|
110 |
109 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
19 |
$1K |
| 92551 |
|
122 |
121 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$802.87 |
| 99173 |
|
111 |
109 |
$114.45 |
| 90670 |
|
420 |
381 |
$100.40 |
| 90647 |
|
118 |
112 |
$0.00 |
| 90680 |
|
153 |
144 |
$0.00 |
| 90723 |
|
78 |
78 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |