| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,375 |
3,015 |
$260K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,997 |
2,234 |
$177K |
| 99460 |
|
3,089 |
2,516 |
$157K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,983 |
2,432 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,195 |
1,075 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,370 |
1,214 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
751 |
744 |
$84K |
| 90461 |
|
1,319 |
1,264 |
$29K |
| 99462 |
|
709 |
515 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
128 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,640 |
1,586 |
$8K |
| 99463 |
|
40 |
37 |
$3K |
| 99383 |
|
14 |
14 |
$1K |
| 90671 |
|
270 |
265 |
$550.78 |
| 90698 |
|
513 |
502 |
$321.92 |
| 99072 |
|
151 |
131 |
$286.57 |
| 85018 |
|
14 |
14 |
$37.24 |
| 90656 |
|
14 |
14 |
$1.00 |
| 99177 |
|
641 |
498 |
$0.00 |
| 90670 |
|
506 |
491 |
$0.00 |
| 90633 |
|
79 |
77 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 90744 |
|
193 |
188 |
$0.00 |
| 90680 |
|
398 |
389 |
$0.00 |
| 90686 |
|
327 |
321 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |