| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,440 |
4,832 |
$303K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,144 |
1,122 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
935 |
910 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
636 |
627 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
737 |
696 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,841 |
1,797 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
529 |
478 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,012 |
2,941 |
$27K |
| 87428 |
|
178 |
177 |
$10K |
| 99051 |
|
197 |
192 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
52 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
64 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
389 |
381 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
149 |
$3K |
| 99460 |
|
69 |
61 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
223 |
207 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120 |
117 |
$2K |
| 90461 |
|
55 |
54 |
$1K |
| 90473 |
|
133 |
132 |
$1K |
| 99442 |
|
46 |
46 |
$1K |
| 0071A |
|
24 |
24 |
$927.89 |
| 0072A |
|
13 |
13 |
$503.13 |
| 90686 |
|
315 |
304 |
$15.15 |