| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,711 |
2,216 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
808 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
725 |
548 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
746 |
661 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
482 |
451 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
196 |
181 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
813 |
755 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
341 |
313 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
78 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
813 |
729 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
84 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
28 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
40 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 99177 |
|
71 |
67 |
$950.56 |
| 99188 |
|
33 |
31 |
$688.78 |
| 90686 |
|
691 |
632 |
$673.30 |
| 90670 |
|
504 |
442 |
$338.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$292.16 |
| 90651 |
|
62 |
61 |
$175.14 |
| 96127 |
|
26 |
26 |
$125.11 |
| 90633 |
|
168 |
153 |
$116.96 |
| 90474 |
|
13 |
13 |
$110.85 |
| 90685 |
|
31 |
29 |
$23.64 |
| 90461 |
|
387 |
337 |
$0.00 |
| 90707 |
|
105 |
98 |
$0.00 |
| 90680 |
|
286 |
238 |
$0.00 |
| 90723 |
|
375 |
320 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90716 |
|
105 |
98 |
$0.00 |
| 90647 |
|
356 |
313 |
$0.00 |