| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
993 |
984 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
902 |
890 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,170 |
2,148 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
927 |
905 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
437 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
289 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
554 |
539 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
179 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
71 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
434 |
414 |
$5K |
| 99460 |
|
46 |
46 |
$4K |
| 99188 |
|
107 |
103 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$872.07 |
| 85018 |
|
288 |
281 |
$862.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$686.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$399.03 |
| 36416 |
|
328 |
302 |
$107.80 |
| 36415 |
Collection of venous blood by venipuncture |
259 |
253 |
$60.75 |
| 90716 |
|
70 |
68 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90744 |
|
313 |
308 |
$0.00 |
| 90686 |
|
511 |
511 |
$0.00 |
| 90698 |
|
767 |
765 |
$0.00 |
| 90670 |
|
803 |
797 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90681 |
|
273 |
273 |
$0.00 |
| 90633 |
|
220 |
219 |
$0.00 |
| 90707 |
|
70 |
68 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |