| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,376 |
3,020 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,475 |
2,299 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,012 |
1,850 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,400 |
1,378 |
$124K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,903 |
2,801 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
116 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
78 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
38 |
$4K |
| 99460 |
|
16 |
16 |
$2K |
| 99462 |
|
27 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
623 |
559 |
$2K |
| 90473 |
|
1,520 |
1,456 |
$1K |
| 85018 |
|
476 |
458 |
$1K |
| 36416 |
|
1,534 |
1,320 |
$1K |
| 90686 |
|
1,142 |
1,111 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,965 |
2,872 |
$948.41 |
| 99188 |
|
317 |
310 |
$452.78 |
| 90688 |
|
90 |
86 |
$433.94 |
| 90656 |
|
106 |
105 |
$165.27 |
| 96127 |
|
83 |
79 |
$82.52 |
| 91301 |
|
13 |
12 |
$40.00 |
| 96161 |
|
112 |
112 |
$19.20 |
| 90677 |
|
544 |
533 |
$0.00 |
| 90680 |
|
1,521 |
1,457 |
$0.00 |
| 90647 |
|
1,041 |
1,004 |
$0.00 |
| 90723 |
|
720 |
687 |
$0.00 |
| 90697 |
|
827 |
797 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90716 |
|
45 |
45 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,548 |
1,484 |
$0.00 |
| 90707 |
|
66 |
65 |
$0.00 |
| 90633 |
|
358 |
350 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |