| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,057 |
938 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
463 |
424 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
421 |
408 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
169 |
$18K |
| 90461 |
|
532 |
506 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
955 |
908 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$11K |
| 87428 |
|
169 |
162 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
84 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$886.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
47 |
$443.72 |
| 88720 |
|
36 |
26 |
$135.55 |
| 90656 |
|
14 |
14 |
$0.13 |
| 90677 |
|
13 |
13 |
$0.13 |
| 90697 |
|
12 |
12 |
$0.11 |