| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,517 |
5,269 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,209 |
2,030 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
658 |
604 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
626 |
619 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,575 |
1,536 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
543 |
$34K |
| 99460 |
|
590 |
589 |
$29K |
| 99462 |
|
623 |
554 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
305 |
$19K |
| 97802 |
|
1,019 |
1,009 |
$18K |
| 95930 |
|
297 |
297 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
436 |
427 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,699 |
1,620 |
$11K |
| 99188 |
|
339 |
338 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
748 |
724 |
$6K |
| 94664 |
|
498 |
473 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$5K |
| 92587 |
|
346 |
346 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
211 |
$4K |
| 99401 |
|
164 |
162 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 99442 |
|
32 |
31 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
708 |
692 |
$1K |
| 90670 |
|
210 |
210 |
$1K |
| 90688 |
|
473 |
473 |
$964.49 |
| 90700 |
|
478 |
478 |
$738.55 |
| 96127 |
|
216 |
215 |
$710.09 |
| 90713 |
|
332 |
331 |
$564.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$552.00 |
| 90716 |
|
72 |
72 |
$320.84 |
| 90633 |
|
81 |
81 |
$256.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
101 |
$212.37 |
| 86580 |
|
40 |
39 |
$196.58 |
| 90647 |
|
156 |
156 |
$192.56 |
| 90707 |
|
59 |
59 |
$187.45 |
| 90649 |
|
14 |
14 |
$165.49 |
| 90620 |
|
12 |
12 |
$160.75 |
| 90734 |
|
24 |
24 |
$116.30 |
| 83655 |
|
39 |
39 |
$78.53 |
| 90687 |
|
32 |
32 |
$52.09 |
| 90744 |
|
171 |
171 |
$23.95 |
| 90461 |
|
432 |
428 |
$0.00 |
| 90680 |
|
43 |
43 |
$0.00 |
| 99000 |
|
101 |
92 |
$0.00 |