| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,846 |
3,831 |
$215K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,362 |
2,239 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,457 |
1,336 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
883 |
853 |
$49K |
| 99460 |
|
452 |
428 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
647 |
622 |
$17K |
| 87660 |
|
621 |
601 |
$11K |
| 87480 |
|
614 |
596 |
$10K |
| 87510 |
|
614 |
596 |
$10K |
| 76801 |
|
124 |
109 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
266 |
$7K |
| 59514 |
|
28 |
27 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
95 |
$5K |
| 54150 |
|
93 |
92 |
$4K |
| 90633 |
|
490 |
458 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
174 |
$3K |
| 90686 |
|
215 |
212 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 90670 |
|
900 |
867 |
$703.15 |
| 90715 |
|
34 |
31 |
$680.32 |
| 90658 |
|
176 |
169 |
$553.07 |
| 90680 |
|
524 |
506 |
$415.42 |
| 90713 |
|
124 |
120 |
$385.35 |
| 90700 |
|
267 |
257 |
$384.45 |
| 90698 |
|
689 |
657 |
$307.86 |
| 90744 |
|
541 |
516 |
$211.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$155.32 |
| 81002 |
|
61 |
57 |
$146.33 |
| 90685 |
|
302 |
284 |
$121.08 |
| 90648 |
|
206 |
198 |
$109.83 |
| 90723 |
|
63 |
58 |
$79.80 |
| 81025 |
|
12 |
12 |
$75.09 |
| 90710 |
|
190 |
181 |
$45.45 |
| 90707 |
|
66 |
60 |
$20.00 |
| 90716 |
|
69 |
63 |
$20.00 |
| 90657 |
|
62 |
55 |
$10.00 |
| 90461 |
|
180 |
173 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |