| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,497 |
5,026 |
$424K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,288 |
1,045 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,141 |
1,022 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
922 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,663 |
1,846 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,012 |
806 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,089 |
845 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,017 |
1,316 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,903 |
1,524 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
611 |
463 |
$11K |
| 87081 |
|
1,708 |
1,437 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
125 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 86580 |
|
99 |
83 |
$519.58 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$489.96 |
| 90620 |
|
285 |
194 |
$257.80 |
| 94760 |
|
60 |
35 |
$58.10 |
| 90688 |
|
804 |
606 |
$35.74 |
| 90686 |
|
862 |
766 |
$19.03 |
| 90649 |
|
563 |
447 |
$8.16 |
| 90670 |
|
930 |
713 |
$0.00 |
| 90685 |
|
78 |
56 |
$0.00 |
| 90707 |
|
464 |
347 |
$0.00 |
| 90734 |
|
350 |
315 |
$0.00 |
| 90715 |
|
355 |
312 |
$0.00 |
| 90648 |
|
655 |
499 |
$0.00 |
| 90713 |
|
84 |
66 |
$0.00 |
| 90633 |
|
974 |
706 |
$0.00 |
| 90700 |
|
442 |
346 |
$0.00 |
| 90681 |
|
93 |
90 |
$0.00 |
| 90716 |
|
489 |
364 |
$0.00 |
| 90680 |
|
402 |
316 |
$0.00 |
| 90698 |
|
81 |
58 |
$0.00 |
| 90723 |
|
359 |
250 |
$0.00 |
| 90744 |
|
29 |
14 |
$0.00 |