| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,121 |
3,068 |
$93K |
| 92552 |
|
7,317 |
7,288 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,536 |
13,244 |
$55K |
| 99461 |
|
458 |
452 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,952 |
4,735 |
$32K |
| 99460 |
|
605 |
596 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
548 |
534 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,586 |
3,522 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,468 |
3,450 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,941 |
2,937 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,732 |
1,717 |
$4K |
| 90670 |
|
988 |
988 |
$3K |
| 90698 |
|
907 |
905 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
82 |
$2K |
| 90744 |
|
417 |
417 |
$1K |
| 90680 |
|
376 |
376 |
$1K |
| 99383 |
|
69 |
69 |
$618.80 |
| 90686 |
|
1,359 |
1,359 |
$610.83 |
| 99173 |
|
3,388 |
3,377 |
$242.32 |
| 90716 |
|
280 |
280 |
$206.64 |
| 99188 |
|
327 |
326 |
$178.38 |
| 90707 |
|
254 |
254 |
$152.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
42 |
$138.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
205 |
$83.73 |
| 90633 |
|
305 |
304 |
$44.91 |
| 90651 |
|
393 |
393 |
$44.64 |
| 81000 |
|
316 |
308 |
$40.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$39.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$35.92 |
| 90734 |
|
270 |
268 |
$35.73 |
| 85018 |
|
52 |
52 |
$24.40 |
| 90696 |
|
12 |
12 |
$9.00 |
| 90700 |
|
15 |
15 |
$9.00 |
| 90713 |
|
13 |
13 |
$9.00 |
| 90715 |
|
141 |
139 |
$9.00 |
| 99000 |
|
85 |
85 |
$3.59 |
| 3351F |
|
2,755 |
2,718 |
$0.00 |
| 3008F |
|
4,644 |
4,632 |
$0.00 |
| 90619 |
|
65 |
65 |
$0.00 |
| 90621 |
|
106 |
106 |
$0.00 |