| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,877 |
6,861 |
$449K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,607 |
1,474 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,836 |
1,764 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,537 |
1,392 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,117 |
1,041 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,452 |
5,119 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,009 |
3,805 |
$58K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,304 |
2,194 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
765 |
724 |
$27K |
| 92551 |
|
1,899 |
1,802 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
275 |
272 |
$22K |
| 99173 |
|
1,872 |
1,772 |
$10K |
| 90474 |
|
560 |
533 |
$7K |
| 90670 |
|
1,052 |
1,013 |
$4K |
| 90698 |
|
634 |
609 |
$2K |
| 90680 |
|
573 |
548 |
$2K |
| 90716 |
|
34 |
34 |
$1K |
| 90707 |
|
33 |
33 |
$1K |
| 90700 |
|
27 |
27 |
$783.54 |
| 99460 |
|
13 |
12 |
$708.38 |
| 90744 |
|
208 |
195 |
$637.33 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$585.88 |
| 90651 |
|
41 |
41 |
$585.59 |
| 90648 |
|
28 |
28 |
$449.91 |
| 90633 |
|
123 |
123 |
$332.22 |
| 90671 |
|
187 |
166 |
$276.38 |
| 90734 |
|
24 |
24 |
$172.54 |
| 90696 |
|
12 |
12 |
$77.00 |
| 90619 |
|
51 |
49 |
$39.60 |
| 90686 |
|
734 |
713 |
$11.83 |
| 90657 |
|
13 |
13 |
$0.00 |
| 90710 |
|
207 |
201 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |