| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,699 |
1,676 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,806 |
3,595 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,690 |
1,668 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,127 |
1,101 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,128 |
1,112 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
1,217 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,490 |
1,448 |
$50K |
| 92551 |
|
1,742 |
1,683 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,398 |
1,338 |
$13K |
| 90686 |
|
1,068 |
1,016 |
$8K |
| 99499 |
|
258 |
245 |
$7K |
| 99173 |
|
1,677 |
1,623 |
$5K |
| 90698 |
|
724 |
700 |
$5K |
| 96127 |
|
1,107 |
1,077 |
$4K |
| 90670 |
|
682 |
663 |
$4K |
| 90651 |
|
322 |
309 |
$4K |
| 90688 |
|
469 |
452 |
$3K |
| 90680 |
|
417 |
403 |
$3K |
| 90633 |
|
268 |
263 |
$2K |
| 90744 |
|
227 |
226 |
$1K |
| 90656 |
|
163 |
153 |
$1K |
| 90734 |
|
180 |
180 |
$1K |
| 99460 |
|
14 |
14 |
$894.03 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$502.60 |
| 90710 |
|
53 |
52 |
$445.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
67 |
$420.00 |
| 90696 |
|
42 |
41 |
$303.82 |
| 90715 |
|
27 |
27 |
$202.55 |
| 90620 |
|
37 |
37 |
$196.95 |
| 90480 |
|
19 |
19 |
$185.00 |
| 90716 |
|
12 |
12 |
$135.17 |
| 90707 |
|
12 |
12 |
$135.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$122.92 |
| 91321 |
|
14 |
14 |
$110.00 |
| 90461 |
|
172 |
168 |
$63.40 |
| 99000 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
129 |
122 |
$0.00 |
| 92552 |
|
16 |
15 |
$0.00 |
| 96160 |
|
18 |
16 |
$0.00 |
| 83655 |
|
30 |
30 |
$0.00 |