| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,649 |
14,700 |
$603K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,067 |
3,014 |
$236K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,470 |
2,302 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,052 |
2,025 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,315 |
5,534 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,362 |
1,356 |
$121K |
| 90461 |
|
3,768 |
3,356 |
$17K |
| 99381 |
|
242 |
215 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
123 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
128 |
87 |
$1K |
| 96380 |
|
51 |
51 |
$971.51 |
| 99460 |
|
13 |
13 |
$889.89 |
| 90480 |
|
25 |
25 |
$747.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$605.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$446.39 |
| 90670 |
|
2,165 |
2,106 |
$202.77 |
| 90474 |
|
18 |
18 |
$193.08 |
| 90634 |
|
829 |
820 |
$0.49 |
| 90697 |
|
356 |
339 |
$0.32 |
| 90649 |
|
111 |
109 |
$0.08 |
| 90380 |
|
51 |
51 |
$0.04 |
| 90686 |
|
549 |
539 |
$0.02 |
| 90658 |
|
337 |
335 |
$0.01 |
| 90648 |
|
254 |
253 |
$0.01 |
| 90707 |
|
177 |
171 |
$0.00 |
| 90734 |
|
336 |
326 |
$0.00 |
| 90685 |
|
159 |
156 |
$0.00 |
| 90700 |
|
211 |
208 |
$0.00 |
| 90710 |
|
554 |
539 |
$0.00 |
| 90633 |
|
196 |
194 |
$0.00 |
| 90715 |
|
127 |
125 |
$0.00 |
| 91321 |
|
25 |
25 |
$0.00 |
| 90744 |
|
624 |
607 |
$0.00 |
| 90680 |
|
1,176 |
1,131 |
$0.00 |
| 90657 |
|
223 |
221 |
$0.00 |
| 90698 |
|
1,289 |
1,257 |
$0.00 |
| 90651 |
|
304 |
299 |
$0.00 |
| 90716 |
|
186 |
180 |
$0.00 |
| 90696 |
|
123 |
110 |
$0.00 |
| 90656 |
|
286 |
286 |
$0.00 |