| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,686 |
7,997 |
$603K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,056 |
2,509 |
$217K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,582 |
5,150 |
$203K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,959 |
1,795 |
$138K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,539 |
5,730 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,447 |
1,337 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,383 |
2,180 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
494 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
449 |
427 |
$25K |
| 92567 |
|
1,687 |
1,498 |
$23K |
| 99460 |
|
302 |
289 |
$22K |
| 99173 |
|
2,258 |
2,048 |
$8K |
| 99050 |
|
234 |
229 |
$2K |
| 87430 |
|
235 |
227 |
$1K |
| 99051 |
|
306 |
297 |
$1K |
| 90670 |
|
1,650 |
1,514 |
$615.33 |
| 90461 |
|
1,653 |
1,447 |
$156.00 |
| 90710 |
|
437 |
410 |
$133.38 |
| 90648 |
|
604 |
543 |
$97.36 |
| 90688 |
|
1,411 |
1,314 |
$53.52 |
| 90633 |
|
553 |
494 |
$31.89 |
| 90680 |
|
1,117 |
1,027 |
$0.04 |
| 90698 |
|
685 |
634 |
$0.02 |
| 90658 |
|
45 |
42 |
$0.00 |
| 90734 |
|
95 |
74 |
$0.00 |
| 90700 |
|
33 |
27 |
$0.00 |
| 90715 |
|
33 |
32 |
$0.00 |
| 90655 |
|
13 |
13 |
$0.00 |
| 90723 |
|
103 |
101 |
$0.00 |
| 90744 |
|
91 |
85 |
$0.00 |
| 90686 |
|
155 |
152 |
$0.00 |
| 90651 |
|
239 |
218 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |