| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,657 |
1,458 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
493 |
427 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
311 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
716 |
620 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
253 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
926 |
878 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,272 |
1,206 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
565 |
256 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
399 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
56 |
$5K |
| 90473 |
|
338 |
326 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
40 |
$3K |
| 99215 |
Prolong outpt/office vis |
21 |
17 |
$2K |
| 92551 |
|
230 |
221 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99460 |
|
15 |
12 |
$1K |
| 87276 |
|
92 |
75 |
$1K |
| 87275 |
|
92 |
75 |
$1K |
| 87807 |
|
67 |
57 |
$777.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
100 |
$752.71 |
| 99051 |
|
31 |
31 |
$726.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
44 |
$659.42 |
| 99173 |
|
188 |
182 |
$454.15 |
| 96160 |
|
13 |
13 |
$42.05 |
| 94760 |
|
18 |
18 |
$2.10 |
| 90680 |
|
335 |
322 |
$0.00 |
| 90698 |
|
540 |
519 |
$0.00 |
| 90744 |
|
280 |
264 |
$0.00 |
| 90686 |
|
385 |
374 |
$0.00 |
| 90716 |
|
81 |
71 |
$0.00 |
| 90651 |
|
40 |
38 |
$0.00 |
| 90696 |
|
33 |
33 |
$0.00 |
| 90670 |
|
550 |
527 |
$0.00 |
| 90633 |
|
336 |
316 |
$0.00 |
| 90707 |
|
64 |
58 |
$0.00 |
| 90685 |
|
272 |
258 |
$0.00 |
| 90734 |
|
20 |
20 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90710 |
|
20 |
19 |
$0.00 |