| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,185 |
11,895 |
$955K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,984 |
3,819 |
$374K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,396 |
2,346 |
$244K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,085 |
4,011 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,264 |
5,163 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
945 |
916 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,855 |
1,793 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
347 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,608 |
773 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
275 |
273 |
$19K |
| 99460 |
|
178 |
178 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
932 |
916 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
199 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 90648 |
|
2,486 |
2,440 |
$253.75 |
| 90723 |
|
1,933 |
1,902 |
$129.99 |
| 90670 |
|
2,431 |
2,390 |
$30.01 |
| 90680 |
|
1,740 |
1,713 |
$30.00 |
| 90649 |
|
81 |
81 |
$15.00 |
| 90672 |
|
13 |
13 |
$0.07 |
| 90633 |
|
851 |
838 |
$0.00 |
| 90710 |
|
410 |
405 |
$0.00 |
| 90700 |
|
74 |
74 |
$0.00 |
| 90734 |
|
102 |
99 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 36416 |
|
296 |
288 |
$0.00 |
| 90686 |
|
111 |
110 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |