| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,830 |
5,496 |
$432K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,599 |
1,599 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,513 |
1,512 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,334 |
1,311 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,260 |
1,235 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
734 |
734 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
369 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
126 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
140 |
139 |
$3K |
| 99460 |
|
23 |
23 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
22 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
49 |
$721.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$125.70 |