| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,717 |
3,176 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,434 |
1,296 |
$110K |
| 99381 |
|
585 |
552 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
793 |
722 |
$55K |
| 99460 |
|
342 |
342 |
$17K |
| 90670 |
|
1,321 |
1,321 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
268 |
268 |
$11K |
| 90698 |
|
1,010 |
1,009 |
$9K |
| 90680 |
|
986 |
985 |
$9K |
| 90685 |
|
401 |
401 |
$7K |
| 90744 |
|
731 |
731 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
658 |
412 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
101 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$3K |
| 99462 |
|
73 |
73 |
$2K |
| 90633 |
|
240 |
240 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$2K |
| 90688 |
|
205 |
205 |
$2K |
| 90700 |
|
160 |
159 |
$1K |
| 90648 |
|
94 |
94 |
$729.00 |
| 85018 |
|
323 |
323 |
$728.47 |
| 90716 |
|
71 |
71 |
$585.00 |
| 90707 |
|
75 |
75 |
$549.00 |
| 99173 |
|
206 |
205 |
$417.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$413.28 |
| 92551 |
|
49 |
49 |
$329.68 |
| 86580 |
|
14 |
14 |
$49.42 |
| 90649 |
|
33 |
33 |
$27.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |