| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,506 |
1,206 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
789 |
687 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,053 |
894 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,029 |
1,562 |
$28K |
| 97802 |
|
1,276 |
1,072 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
379 |
338 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
140 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
121 |
95 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
144 |
$11K |
| 99381 |
|
183 |
162 |
$11K |
| 92587 |
|
694 |
639 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
203 |
$7K |
| 99460 |
|
108 |
98 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
95 |
55 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
60 |
53 |
$4K |
| 90670 |
|
59 |
58 |
$4K |
| 99188 |
|
258 |
250 |
$3K |
| 99401 |
|
305 |
243 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
411 |
253 |
$2K |
| 87428 |
|
47 |
45 |
$1K |
| 99383 |
|
14 |
12 |
$952.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$831.85 |
| 99382 |
|
13 |
12 |
$691.41 |
| 82247 |
|
232 |
131 |
$338.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
36 |
$253.01 |
| 81003 |
|
77 |
72 |
$117.32 |
| 87420 |
|
19 |
16 |
$107.66 |
| 88720 |
|
205 |
136 |
$52.36 |
| 85018 |
|
26 |
25 |
$30.47 |
| 96160 |
|
26 |
25 |
$2.76 |
| 99177 |
|
1,149 |
1,045 |
$0.00 |
| 90680 |
|
68 |
64 |
$0.00 |
| 96161 |
|
1,021 |
664 |
$0.00 |
| 36416 |
|
79 |
77 |
$0.00 |
| 90677 |
|
41 |
38 |
$0.00 |
| 90697 |
|
123 |
118 |
$0.00 |
| 96127 |
|
626 |
453 |
$0.00 |