| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,662 |
1,207 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,763 |
1,490 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
762 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
527 |
467 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,283 |
1,930 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,482 |
1,252 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,025 |
1,728 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
340 |
293 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
124 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
87 |
$8K |
| 90670 |
|
719 |
590 |
$6K |
| 99460 |
|
59 |
51 |
$3K |
| 99173 |
|
361 |
317 |
$3K |
| 90723 |
|
485 |
388 |
$3K |
| 90686 |
|
278 |
238 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
12 |
$2K |
| 90647 |
|
400 |
330 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$1K |
| 90734 |
|
25 |
23 |
$975.85 |
| 92551 |
|
123 |
114 |
$876.53 |
| 90715 |
|
17 |
16 |
$863.83 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
27 |
$768.61 |
| 90681 |
|
101 |
83 |
$446.10 |
| 90649 |
|
16 |
16 |
$403.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
14 |
$400.90 |
| 90633 |
|
13 |
12 |
$84.55 |