| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,323 |
3,794 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,218 |
2,239 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,653 |
1,959 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,633 |
1,164 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,500 |
3,473 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,985 |
2,276 |
$32K |
| 87428 |
|
855 |
636 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,974 |
2,907 |
$17K |
| 99460 |
|
539 |
418 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
133 |
113 |
$9K |
| 90474 |
|
990 |
725 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
115 |
$6K |
| 99462 |
|
272 |
188 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
84 |
$2K |
| 96161 |
|
952 |
483 |
$2K |
| 99215 |
Prolong outpt/office vis |
22 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
279 |
83 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
562 |
254 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$921.44 |
| 92551 |
|
262 |
149 |
$903.34 |
| 87807 |
|
103 |
57 |
$641.90 |
| 90647 |
|
867 |
674 |
$248.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
17 |
$237.12 |
| 92558 |
|
42 |
30 |
$166.50 |
| 99173 |
|
167 |
81 |
$104.96 |
| 99402 |
|
41 |
18 |
$71.10 |
| 99401 |
|
46 |
26 |
$45.00 |
| 96127 |
|
24 |
18 |
$35.00 |
| 90670 |
|
1,753 |
1,133 |
$32.96 |
| 96160 |
|
140 |
74 |
$28.08 |
| 90686 |
|
618 |
465 |
$19.03 |
| 90633 |
|
334 |
201 |
$0.32 |
| 90671 |
|
46 |
39 |
$0.05 |
| 90723 |
|
934 |
691 |
$0.00 |
| 90697 |
|
241 |
97 |
$0.00 |
| 90680 |
|
115 |
51 |
$0.00 |
| 90716 |
|
51 |
38 |
$0.00 |
| 99406 |
|
39 |
14 |
$0.00 |
| 90681 |
|
1,051 |
690 |
$0.00 |
| 90707 |
|
74 |
50 |
$0.00 |
| 90685 |
|
100 |
69 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |