| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
608 |
426 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
176 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
84 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
353 |
239 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
41 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
40 |
$4K |
| 99460 |
|
98 |
97 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
45 |
45 |
$2K |
| 90686 |
|
108 |
102 |
$694.63 |
| 90670 |
|
16 |
14 |
$93.11 |
| 90723 |
|
15 |
13 |
$86.39 |
| 90680 |
|
14 |
12 |
$79.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
27 |
$0.00 |