| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,210 |
711 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
585 |
353 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
272 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
550 |
278 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
92 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
137 |
98 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
653 |
333 |
$6K |
| 99460 |
|
81 |
66 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
366 |
190 |
$4K |
| 96161 |
|
400 |
258 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
13 |
$1K |
| 99463 |
|
14 |
14 |
$1K |
| 99442 |
|
33 |
27 |
$729.57 |
| 90474 |
|
117 |
56 |
$621.49 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$433.59 |
| 90686 |
|
89 |
53 |
$433.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
24 |
$411.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
19 |
$347.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
12 |
$301.83 |
| 92551 |
|
50 |
27 |
$254.26 |
| 99443 |
|
15 |
12 |
$223.89 |
| 81025 |
|
20 |
20 |
$131.98 |
| 96127 |
|
39 |
15 |
$104.51 |
| 36416 |
|
153 |
88 |
$104.41 |
| 81001 |
|
199 |
109 |
$77.29 |
| 87210 |
|
17 |
17 |
$68.12 |
| 99177 |
|
29 |
12 |
$62.77 |
| 85018 |
|
50 |
28 |
$50.90 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
27 |
$18.96 |
| 81002 |
|
203 |
95 |
$12.56 |
| 81003 |
|
13 |
13 |
$6.50 |
| 99000 |
|
274 |
154 |
$0.00 |
| 90680 |
|
112 |
55 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 90723 |
|
93 |
48 |
$0.00 |
| 90648 |
|
112 |
57 |
$0.00 |
| 90670 |
|
230 |
109 |
$0.00 |
| 90633 |
|
64 |
24 |
$0.00 |
| 0502F |
|
459 |
251 |
$0.00 |