| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,058 |
1,041 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,999 |
1,973 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
763 |
754 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
367 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
304 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
632 |
624 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
215 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
134 |
$15K |
| 99460 |
|
59 |
59 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
133 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
319 |
305 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
42 |
$3K |
| 85018 |
|
543 |
531 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$525.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$278.35 |
| 36416 |
|
335 |
315 |
$71.04 |
| 36415 |
Collection of venous blood by venipuncture |
235 |
230 |
$31.50 |
| 90670 |
|
836 |
830 |
$0.00 |
| 90633 |
|
130 |
128 |
$0.00 |
| 90710 |
|
31 |
31 |
$0.00 |
| 90681 |
|
343 |
340 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90744 |
|
256 |
255 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90686 |
|
497 |
496 |
$0.00 |
| 90698 |
|
804 |
796 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |