| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,705 |
5,364 |
$316K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,319 |
3,388 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,643 |
2,382 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,769 |
923 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,408 |
915 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,046 |
777 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
682 |
504 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,198 |
857 |
$33K |
| 92567 |
|
2,184 |
1,589 |
$23K |
| 90677 |
|
107 |
84 |
$13K |
| 99173 |
|
2,403 |
1,746 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
110 |
$5K |
| 87430 |
|
483 |
367 |
$3K |
| 99460 |
|
79 |
37 |
$2K |
| 90461 |
|
1,806 |
1,133 |
$96.00 |
| 90734 |
|
55 |
39 |
$0.00 |
| 90710 |
|
147 |
96 |
$0.00 |
| 90670 |
|
780 |
427 |
$0.00 |
| 90715 |
|
19 |
12 |
$0.00 |
| 90672 |
|
33 |
30 |
$0.00 |
| 90633 |
|
142 |
87 |
$0.00 |
| 90680 |
|
407 |
219 |
$0.00 |
| 90686 |
|
495 |
341 |
$0.00 |
| 90657 |
|
40 |
29 |
$0.00 |
| 90688 |
|
580 |
352 |
$0.00 |
| 90619 |
|
23 |
15 |
$0.00 |
| 90651 |
|
87 |
58 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90620 |
|
35 |
28 |
$0.00 |
| 90698 |
|
149 |
85 |
$0.00 |