| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,256 |
9,690 |
$143K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,851 |
2,829 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
481 |
443 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,151 |
2,137 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,096 |
2,095 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,330 |
1,330 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,193 |
1,143 |
$35K |
| 99460 |
|
649 |
645 |
$27K |
| 99462 |
|
1,044 |
688 |
$23K |
| 92551 |
|
3,336 |
3,329 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,185 |
1,563 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
553 |
548 |
$16K |
| 90670 |
|
1,255 |
1,227 |
$9K |
| 90648 |
|
1,240 |
1,211 |
$7K |
| 90723 |
|
737 |
723 |
$5K |
| 92552 |
|
653 |
650 |
$4K |
| 90686 |
|
891 |
888 |
$4K |
| 90680 |
|
421 |
412 |
$3K |
| 90716 |
|
497 |
483 |
$3K |
| 90633 |
|
567 |
556 |
$3K |
| 90707 |
|
471 |
458 |
$3K |
| 90651 |
|
178 |
177 |
$3K |
| 97802 |
|
1,398 |
1,397 |
$2K |
| 90734 |
|
90 |
90 |
$883.35 |
| 81002 |
|
1,498 |
1,491 |
$817.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
766 |
737 |
$709.20 |
| 90681 |
|
42 |
42 |
$490.16 |
| 90696 |
|
62 |
61 |
$432.00 |
| 99173 |
|
3,091 |
3,078 |
$257.09 |
| 90685 |
|
41 |
40 |
$248.00 |
| 90700 |
|
38 |
38 |
$243.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
340 |
$148.37 |
| 90715 |
|
13 |
13 |
$99.00 |
| 99441 |
|
408 |
397 |
$0.00 |
| 90461 |
|
95 |
84 |
$0.00 |
| 99442 |
|
22 |
21 |
$0.00 |