| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,002 |
3,806 |
$271K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,122 |
3,113 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,094 |
1,022 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
995 |
995 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
537 |
$50K |
| 99460 |
|
131 |
131 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
167 |
167 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
106 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
330 |
$3K |
| 96127 |
|
687 |
669 |
$3K |
| 96161 |
|
403 |
402 |
$1K |
| 92587 |
|
57 |
57 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$733.60 |
| 0071A |
|
15 |
15 |
$600.00 |
| 0072A |
|
14 |
14 |
$560.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$380.01 |
| 99173 |
|
27 |
27 |
$63.24 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
206 |
206 |
$0.00 |
| 90670 |
|
534 |
534 |
$0.00 |
| 90633 |
|
81 |
81 |
$0.00 |
| 90723 |
|
82 |
82 |
$0.00 |
| 90686 |
|
1,167 |
1,167 |
$0.00 |
| 90680 |
|
301 |
301 |
$0.00 |
| 91307 |
|
31 |
30 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |