| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,305 |
4,750 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,220 |
1,219 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
854 |
853 |
$32K |
| 99381 |
|
518 |
507 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,282 |
2,167 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
438 |
438 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
236 |
$16K |
| 99460 |
|
210 |
210 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,047 |
2,045 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
721 |
719 |
$7K |
| 90461 |
|
3,277 |
1,090 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
79 |
78 |
$5K |
| G9920 |
Screening performed and negative |
144 |
144 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
77 |
77 |
$3K |
| 92551 |
|
2,010 |
2,008 |
$3K |
| 90680 |
|
12 |
12 |
$714.74 |
| 90480 |
|
13 |
13 |
$702.00 |
| 83655 |
|
65 |
65 |
$668.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
401 |
393 |
$501.18 |
| 99462 |
|
16 |
13 |
$441.02 |
| 85018 |
|
2,597 |
2,575 |
$407.57 |
| 81000 |
|
1,950 |
1,934 |
$388.82 |
| 96127 |
|
525 |
525 |
$333.31 |