| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,593 |
1,537 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,380 |
1,362 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,016 |
2,781 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,058 |
1,919 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
577 |
546 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
193 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,638 |
1,609 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,366 |
2,331 |
$11K |
| 99460 |
|
108 |
107 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
140 |
$2K |
| 54160 |
|
13 |
12 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$784.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$238.32 |
| 90670 |
|
806 |
797 |
$72.00 |
| 99462 |
|
16 |
12 |
$62.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$19.84 |
| 90633 |
|
308 |
298 |
$0.00 |
| 90648 |
|
531 |
522 |
$0.00 |
| 90707 |
|
102 |
100 |
$0.00 |
| 90700 |
|
116 |
112 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 90685 |
|
21 |
21 |
$0.00 |
| 90649 |
|
39 |
39 |
$0.00 |
| 90680 |
|
544 |
539 |
$0.00 |
| 90698 |
|
113 |
108 |
$0.00 |
| 97802 |
|
222 |
194 |
$0.00 |
| 90723 |
|
394 |
393 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
50 |
$0.00 |
| 90686 |
|
76 |
76 |
$0.00 |
| 90744 |
|
19 |
17 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |