| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,808 |
2,714 |
$167K |
| 99460 |
|
2,895 |
2,886 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,159 |
2,125 |
$75K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,656 |
2,649 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
675 |
675 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,497 |
1,385 |
$38K |
| 99381 |
|
300 |
292 |
$30K |
| 90670 |
|
2,335 |
2,332 |
$15K |
| 99462 |
|
637 |
632 |
$11K |
| 90680 |
|
1,446 |
1,444 |
$11K |
| 90647 |
|
1,105 |
1,105 |
$8K |
| 90723 |
|
885 |
884 |
$7K |
| 90698 |
|
781 |
779 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
250 |
250 |
$5K |
| 90633 |
|
696 |
694 |
$4K |
| 90744 |
|
450 |
449 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
204 |
203 |
$3K |
| 90707 |
|
422 |
421 |
$3K |
| 90716 |
|
396 |
395 |
$2K |
| 90686 |
|
583 |
582 |
$2K |
| 90657 |
|
402 |
402 |
$2K |
| 90697 |
|
313 |
313 |
$1K |
| 90700 |
|
66 |
66 |
$468.00 |
| 90658 |
|
66 |
66 |
$189.00 |
| 90710 |
|
25 |
25 |
$81.00 |
| 90696 |
|
24 |
24 |
$81.00 |
| 99173 |
|
470 |
470 |
$61.20 |
| 92552 |
|
112 |
112 |
$56.58 |