| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,959 |
3,708 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,343 |
2,230 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,396 |
1,316 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
681 |
681 |
$60K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,390 |
1,371 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,346 |
2,326 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,293 |
2,293 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
188 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
374 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
135 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
57 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 99460 |
|
26 |
26 |
$2K |
| 96127 |
|
264 |
264 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 99173 |
|
451 |
451 |
$1K |