| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,113 |
1,955 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
774 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
827 |
810 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
772 |
673 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
525 |
516 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,335 |
1,288 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
331 |
323 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,960 |
1,903 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
166 |
145 |
$9K |
| 99460 |
|
124 |
110 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
347 |
341 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
208 |
104 |
$2K |
| 90473 |
|
163 |
158 |
$2K |
| 99051 |
|
60 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
138 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
34 |
$1K |
| 0071A |
|
13 |
13 |
$520.00 |
| 0072A |
|
13 |
13 |
$486.26 |
| 99462 |
|
19 |
13 |
$458.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
24 |
$353.28 |
| 81002 |
|
12 |
12 |
$25.44 |
| 90686 |
|
178 |
176 |
$9.50 |
| 90670 |
|
47 |
24 |
$2.30 |