| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,723 |
2,558 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,427 |
1,044 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,130 |
928 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
779 |
692 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,262 |
1,856 |
$44K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
601 |
503 |
$34K |
| 99460 |
|
465 |
378 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,127 |
2,608 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,642 |
1,276 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
305 |
278 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
444 |
351 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
108 |
$9K |
| 90474 |
|
536 |
380 |
$3K |
| 99462 |
|
100 |
69 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
29 |
$3K |
| 96127 |
|
323 |
288 |
$1K |
| 99173 |
|
205 |
184 |
$1K |
| 99177 |
|
160 |
129 |
$972.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$332.25 |
| 96161 |
|
760 |
613 |
$102.28 |
| 90633 |
|
284 |
200 |
$0.00 |
| 90670 |
|
914 |
672 |
$0.00 |
| 90685 |
|
299 |
258 |
$0.00 |
| 90700 |
|
38 |
26 |
$0.00 |
| 90648 |
|
103 |
93 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90707 |
|
203 |
152 |
$0.00 |
| 90723 |
|
419 |
295 |
$0.00 |
| 90688 |
|
508 |
469 |
$0.00 |
| 90647 |
|
571 |
397 |
$0.00 |
| 90680 |
|
565 |
402 |
$0.00 |
| 90686 |
|
979 |
824 |
$0.00 |
| 90651 |
|
51 |
46 |
$0.00 |
| 90716 |
|
193 |
140 |
$0.00 |
| 90696 |
|
17 |
15 |
$0.00 |