| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,912 |
3,417 |
$199K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,133 |
1,850 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,248 |
1,212 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,233 |
1,070 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
787 |
771 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,922 |
1,835 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
434 |
414 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,738 |
2,613 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
218 |
151 |
$11K |
| 99460 |
|
185 |
143 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
77 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
401 |
388 |
$5K |
| 87428 |
|
55 |
54 |
$3K |
| 99051 |
|
102 |
101 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
106 |
$2K |
| 90473 |
|
162 |
154 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
96 |
$945.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
16 |
$940.22 |
| 99462 |
|
14 |
12 |
$320.58 |
| 90686 |
|
352 |
329 |
$16.17 |
| 90670 |
|
24 |
12 |
$1.20 |