| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
1,117 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
294 |
$27K |
| 99215 |
Prolong outpt/office vis |
208 |
197 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
816 |
686 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
354 |
322 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
199 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
734 |
668 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
129 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
149 |
$9K |
| 92551 |
|
104 |
96 |
$862.51 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$724.78 |
| 96160 |
|
28 |
27 |
$537.13 |
| 96127 |
|
47 |
44 |
$224.63 |
| 99173 |
|
37 |
34 |
$166.25 |
| 92567 |
|
12 |
12 |
$160.43 |
| 90633 |
|
27 |
24 |
$0.00 |
| 90461 |
|
20 |
20 |
$0.00 |
| 90670 |
|
174 |
162 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90647 |
|
115 |
105 |
$0.00 |
| 90723 |
|
85 |
83 |
$0.00 |
| 90686 |
|
120 |
116 |
$0.00 |
| 90680 |
|
64 |
62 |
$0.00 |