| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,799 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
217 |
$2K |
| 99460 |
|
83 |
80 |
$2K |
| 90686 |
|
707 |
677 |
$1K |
| 92551 |
|
1,164 |
1,139 |
$1K |
| 99384 |
|
158 |
154 |
$1K |
| 99383 |
|
219 |
208 |
$982.68 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
97 |
$727.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$724.70 |
| 92081 |
|
1,093 |
1,070 |
$568.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
62 |
$480.61 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
76 |
76 |
$413.60 |
| 99462 |
|
39 |
26 |
$384.41 |
| 90648 |
|
94 |
85 |
$351.00 |
| 90670 |
|
115 |
104 |
$324.00 |
| 99188 |
|
409 |
393 |
$255.52 |
| 90633 |
|
60 |
54 |
$171.00 |
| 92552 |
|
13 |
13 |
$104.10 |
| 90685 |
|
40 |
36 |
$99.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
15 |
$80.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
26 |
$72.72 |
| 90707 |
|
17 |
14 |
$72.00 |
| 90716 |
|
17 |
14 |
$72.00 |
| 90620 |
|
40 |
40 |
$63.00 |
| 90651 |
|
42 |
41 |
$45.00 |
| 96127 |
|
396 |
393 |
$42.01 |
| 90700 |
|
20 |
17 |
$27.00 |
| 99173 |
|
14 |
14 |
$25.00 |
| 90734 |
|
77 |
77 |
$18.00 |
| 94760 |
|
157 |
126 |
$11.06 |
| 90715 |
|
15 |
15 |
$9.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
356 |
351 |
$0.00 |