| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,647 |
5,745 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
541 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,013 |
989 |
$16K |
| 99460 |
|
306 |
302 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,116 |
2,108 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
823 |
756 |
$6K |
| 90670 |
|
553 |
552 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
533 |
$4K |
| 90651 |
|
115 |
112 |
$2K |
| 90698 |
|
283 |
283 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$2K |
| 90686 |
|
1,200 |
1,186 |
$2K |
| 92551 |
|
1,997 |
1,990 |
$2K |
| 92081 |
|
1,318 |
1,316 |
$1K |
| 90656 |
|
37 |
37 |
$893.73 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$863.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
265 |
$836.07 |
| 90744 |
|
82 |
82 |
$489.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$436.41 |
| 90633 |
|
104 |
103 |
$395.83 |
| 96156 |
|
52 |
52 |
$389.69 |
| 90619 |
|
14 |
14 |
$341.38 |
| 85018 |
|
1,193 |
1,165 |
$318.80 |
| 90685 |
|
41 |
41 |
$210.16 |
| 90681 |
|
27 |
27 |
$126.00 |
| 90461 |
|
390 |
387 |
$73.00 |
| 90700 |
|
12 |
12 |
$72.00 |
| 97802 |
|
19 |
19 |
$60.10 |
| 99401 |
|
61 |
61 |
$45.00 |
| 90648 |
|
14 |
14 |
$28.54 |
| 90710 |
|
17 |
17 |
$27.00 |
| 90734 |
|
12 |
12 |
$27.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,726 |
1,711 |
$15.00 |
| 83655 |
|
12 |
12 |
$10.52 |
| 90671 |
|
13 |
13 |
$9.00 |
| 99173 |
|
439 |
439 |
$4.03 |
| 36416 |
|
110 |
110 |
$0.00 |
| 96160 |
|
2,149 |
2,143 |
$0.00 |