| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,343 |
2,038 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,694 |
1,388 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
925 |
847 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
386 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,783 |
1,546 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
202 |
$18K |
| 90670 |
|
1,303 |
1,072 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
562 |
511 |
$14K |
| 90723 |
|
924 |
782 |
$13K |
| 90680 |
|
952 |
792 |
$13K |
| 90647 |
|
848 |
725 |
$12K |
| 90677 |
|
276 |
240 |
$10K |
| 90633 |
|
384 |
335 |
$6K |
| 90686 |
|
489 |
440 |
$6K |
| 90674 |
|
289 |
278 |
$5K |
| 90716 |
|
164 |
153 |
$3K |
| 90698 |
|
204 |
162 |
$3K |
| 90707 |
|
141 |
129 |
$2K |
| 90661 |
|
112 |
109 |
$2K |
| 83655 |
|
130 |
120 |
$2K |
| 90687 |
|
221 |
189 |
$1K |
| 90688 |
|
124 |
90 |
$1K |
| 99460 |
|
14 |
14 |
$830.43 |
| 90700 |
|
45 |
40 |
$776.56 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$534.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
286 |
$256.50 |
| 90744 |
|
20 |
13 |
$201.08 |
| 81002 |
|
57 |
49 |
$145.00 |
| 36416 |
|
48 |
39 |
$98.40 |
| 85018 |
|
32 |
28 |
$73.65 |
| 3008F |
|
219 |
203 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$0.00 |
| 90461 |
|
79 |
76 |
$0.00 |