| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
467 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
185 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
166 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
187 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
481 |
468 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
100 |
$6K |
| 99460 |
|
102 |
100 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
230 |
222 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
70 |
68 |
$3K |
| 90686 |
|
176 |
175 |
$790.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$383.80 |
| 90474 |
|
40 |
39 |
$196.56 |
| 36416 |
|
57 |
54 |
$117.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$116.87 |
| 85018 |
|
40 |
40 |
$96.80 |
| 90473 |
|
17 |
17 |
$77.56 |
| 90670 |
|
94 |
92 |
$0.23 |
| 90648 |
|
59 |
59 |
$0.17 |
| 90660 |
|
27 |
27 |
$0.16 |
| 90680 |
|
57 |
55 |
$0.13 |
| 90633 |
|
16 |
16 |
$0.03 |
| 90723 |
|
13 |
13 |
$0.02 |