| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,564 |
6,755 |
$286K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,006 |
7,691 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,584 |
1,248 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,334 |
1,035 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,318 |
4,420 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
964 |
882 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,210 |
2,647 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
386 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
260 |
$18K |
| 92551 |
|
2,039 |
1,787 |
$14K |
| 87449 |
|
929 |
789 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
628 |
529 |
$4K |
| 90474 |
|
572 |
451 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
442 |
152 |
$3K |
| 85018 |
|
1,316 |
1,000 |
$2K |
| 81002 |
|
858 |
739 |
$2K |
| 69210 |
|
70 |
60 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
24 |
$1K |
| 99173 |
|
1,303 |
1,108 |
$1K |
| 99499 |
|
83 |
79 |
$910.00 |
| 99460 |
|
25 |
18 |
$845.46 |
| 99051 |
|
47 |
42 |
$726.40 |
| 94761 |
|
586 |
419 |
$613.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
30 |
$375.84 |
| 94664 |
|
27 |
27 |
$238.70 |
| 90647 |
|
238 |
187 |
$238.50 |
| 90670 |
|
1,237 |
901 |
$228.32 |
| 90651 |
|
204 |
179 |
$227.77 |
| 90734 |
|
190 |
163 |
$167.65 |
| 90473 |
|
15 |
13 |
$125.16 |
| 90620 |
|
35 |
25 |
$50.93 |
| 90672 |
|
65 |
50 |
$38.00 |
| 90686 |
|
492 |
410 |
$18.80 |
| 90633 |
|
630 |
512 |
$1.72 |
| 90680 |
|
557 |
412 |
$0.00 |
| 90723 |
|
153 |
115 |
$0.00 |
| 90688 |
|
619 |
515 |
$0.00 |
| 90698 |
|
178 |
113 |
$0.00 |
| 90744 |
|
59 |
40 |
$0.00 |
| 90697 |
|
15 |
13 |
$0.00 |
| 90710 |
|
114 |
80 |
$0.00 |
| 90700 |
|
17 |
12 |
$0.00 |
| 90681 |
|
27 |
13 |
$0.00 |
| 90648 |
|
112 |
76 |
$0.00 |