| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,613 |
3,650 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,365 |
1,073 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
764 |
714 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
803 |
699 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,344 |
1,191 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,983 |
1,768 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,394 |
1,234 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
68 |
$5K |
| 90474 |
|
174 |
168 |
$2K |
| 92551 |
|
232 |
186 |
$2K |
| 96127 |
|
320 |
265 |
$1K |
| 99173 |
|
257 |
210 |
$1K |
| 99402 |
|
49 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$930.37 |
| 99442 |
|
32 |
27 |
$835.78 |
| 99460 |
|
17 |
14 |
$705.79 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
13 |
$673.17 |
| 3008F |
|
45 |
32 |
$20.00 |
| 90658 |
|
28 |
27 |
$0.09 |
| 90670 |
|
630 |
563 |
$0.01 |
| 90686 |
|
410 |
376 |
$0.01 |
| 90648 |
|
346 |
313 |
$0.00 |
| 90633 |
|
93 |
86 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 90680 |
|
229 |
217 |
$0.00 |
| 90657 |
|
44 |
42 |
$0.00 |
| 90723 |
|
148 |
137 |
$0.00 |