| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,300 |
4,670 |
$302K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,653 |
2,517 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,331 |
2,221 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,595 |
1,522 |
$122K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,887 |
2,754 |
$97K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,737 |
5,435 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
822 |
785 |
$69K |
| 90658 |
|
1,803 |
1,723 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
378 |
360 |
$9K |
| 90700 |
|
1,885 |
1,801 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
748 |
691 |
$7K |
| 90670 |
|
1,282 |
1,230 |
$7K |
| 90648 |
|
1,596 |
1,526 |
$6K |
| 90713 |
|
1,452 |
1,380 |
$5K |
| 90680 |
|
1,114 |
1,066 |
$5K |
| 90655 |
|
847 |
822 |
$3K |
| 90473 |
|
213 |
209 |
$3K |
| 99401 |
|
34 |
34 |
$2K |
| 90744 |
|
577 |
553 |
$2K |
| 90677 |
|
309 |
293 |
$1K |
| 90716 |
|
285 |
263 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$762.48 |
| 90619 |
|
26 |
26 |
$644.00 |
| 90633 |
|
458 |
431 |
$585.49 |
| 90707 |
|
240 |
219 |
$198.05 |
| 90651 |
|
71 |
67 |
$30.00 |
| 90621 |
|
85 |
83 |
$30.00 |
| 90715 |
|
13 |
13 |
$15.00 |
| 90734 |
|
15 |
15 |
$15.00 |
| 90688 |
|
18 |
16 |
$8.20 |
| 90686 |
|
21 |
21 |
$0.00 |