| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,906 |
2,448 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,171 |
1,959 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,875 |
3,230 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,084 |
1,814 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,727 |
3,305 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
374 |
$28K |
| 99460 |
|
473 |
430 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
495 |
448 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
134 |
$15K |
| 90670 |
|
1,158 |
1,027 |
$7K |
| 90671 |
|
682 |
501 |
$6K |
| 99381 |
|
56 |
45 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 90710 |
|
124 |
98 |
$1K |
| 90686 |
|
222 |
219 |
$631.77 |
| 99382 |
|
17 |
13 |
$627.73 |
| 90698 |
|
124 |
110 |
$486.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
220 |
134 |
$463.24 |
| 90461 |
|
421 |
395 |
$421.46 |
| 90680 |
|
1,219 |
1,027 |
$293.00 |
| 99462 |
|
19 |
14 |
$248.68 |
| 90648 |
|
1,309 |
1,107 |
$226.67 |
| 90633 |
|
169 |
152 |
$120.36 |
| 90696 |
|
14 |
14 |
$56.18 |
| 90723 |
|
952 |
774 |
$47.00 |
| 90716 |
|
31 |
25 |
$0.00 |
| 90744 |
|
29 |
28 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 99173 |
|
63 |
50 |
$0.00 |
| 90700 |
|
44 |
41 |
$0.00 |