| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,982 |
1,826 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,285 |
2,921 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,268 |
1,233 |
$95K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,792 |
1,715 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,161 |
2,072 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
725 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
178 |
$13K |
| 90474 |
|
584 |
559 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
176 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$4K |
| 54150 |
|
26 |
25 |
$3K |
| 99460 |
|
43 |
42 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
47 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
77 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$980.85 |
| 90670 |
|
1,087 |
1,037 |
$774.14 |
| 99173 |
|
87 |
86 |
$415.21 |
| 90671 |
|
200 |
193 |
$253.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$134.01 |
| 90710 |
|
143 |
138 |
$133.38 |
| 90633 |
|
255 |
250 |
$31.89 |
| 85018 |
|
12 |
12 |
$14.07 |
| 90698 |
|
395 |
371 |
$0.00 |
| 90697 |
|
499 |
479 |
$0.00 |
| 90680 |
|
614 |
583 |
$0.00 |
| 90744 |
|
194 |
183 |
$0.00 |
| 90688 |
|
109 |
102 |
$0.00 |
| 90686 |
|
122 |
121 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |
| 90687 |
|
50 |
45 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 90461 |
|
52 |
51 |
$0.00 |
| 90681 |
|
16 |
13 |
$0.00 |