| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
20,278 |
12,444 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
627 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,083 |
621 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
123 |
$16K |
| 99460 |
|
46 |
36 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
72 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
154 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
36 |
$3K |
| 99463 |
|
14 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
55 |
$577.58 |
| 96127 |
|
181 |
112 |
$430.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$254.34 |
| 96161 |
|
52 |
40 |
$115.94 |
| 90681 |
|
33 |
24 |
$0.00 |
| 90670 |
|
61 |
46 |
$0.00 |
| 90647 |
|
35 |
26 |
$0.00 |
| 90723 |
|
43 |
32 |
$0.00 |