| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,441 |
4,715 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,010 |
953 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,043 |
974 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,248 |
990 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,577 |
1,456 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,224 |
1,120 |
$16K |
| 99460 |
|
96 |
94 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
130 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
68 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
56 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
125 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
103 |
$837.04 |
| 90670 |
|
555 |
513 |
$723.34 |
| 90474 |
|
62 |
56 |
$507.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
295 |
270 |
$501.31 |
| 90686 |
|
354 |
348 |
$230.34 |
| 90648 |
|
494 |
455 |
$116.29 |
| 90672 |
|
49 |
41 |
$50.00 |
| 90723 |
|
140 |
129 |
$25.75 |
| 90685 |
|
26 |
26 |
$15.75 |
| 90633 |
|
12 |
12 |
$15.75 |
| 90680 |
|
115 |
108 |
$10.50 |
| 90657 |
|
16 |
15 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |