| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,300 |
2,932 |
$215K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,209 |
1,159 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
645 |
619 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
916 |
873 |
$32K |
| 99381 |
|
289 |
286 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
320 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
158 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,418 |
1,110 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
950 |
341 |
$7K |
| 99383 |
|
43 |
41 |
$4K |
| 99460 |
|
26 |
26 |
$2K |
| 90461 |
|
905 |
248 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$889.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$736.20 |
| 96160 |
|
57 |
56 |
$60.72 |
| 90670 |
|
349 |
347 |
$0.00 |
| 90648 |
|
370 |
368 |
$0.00 |
| 90681 |
|
46 |
46 |
$0.00 |
| 90633 |
|
48 |
48 |
$0.00 |
| 90710 |
|
32 |
32 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90723 |
|
270 |
268 |
$0.00 |
| 90686 |
|
165 |
165 |
$0.00 |
| 96161 |
|
26 |
25 |
$0.00 |
| 90680 |
|
50 |
49 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |