| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,749 |
2,745 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,371 |
2,356 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
994 |
989 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,034 |
1,032 |
$38K |
| 92552 |
|
3,383 |
3,380 |
$37K |
| 90686 |
|
4,170 |
4,160 |
$34K |
| 92081 |
|
2,546 |
2,545 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
463 |
463 |
$23K |
| 90670 |
|
2,488 |
2,477 |
$19K |
| 90648 |
|
2,450 |
2,439 |
$19K |
| 90723 |
|
1,929 |
1,922 |
$15K |
| 90680 |
|
1,705 |
1,698 |
$13K |
| 90633 |
|
1,299 |
1,297 |
$10K |
| 0071A |
|
119 |
119 |
$5K |
| 0072A |
|
117 |
117 |
$5K |
| 90651 |
|
446 |
446 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
234 |
232 |
$4K |
| 0001A |
|
98 |
98 |
$4K |
| 0003A |
|
94 |
94 |
$4K |
| 90620 |
|
316 |
315 |
$3K |
| 90716 |
|
358 |
358 |
$3K |
| 0002A |
|
63 |
63 |
$2K |
| 90734 |
|
266 |
266 |
$2K |
| 90707 |
|
261 |
261 |
$2K |
| 90700 |
|
253 |
253 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
228 |
226 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,977 |
4,666 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 0124A |
|
26 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
617 |
$1K |
| 99384 |
|
12 |
12 |
$507.64 |
| 90710 |
|
53 |
53 |
$376.96 |
| 90696 |
|
48 |
48 |
$338.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$303.84 |
| 90715 |
|
27 |
27 |
$250.79 |
| 90657 |
|
15 |
15 |
$140.00 |
| 90672 |
|
14 |
14 |
$120.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$45.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,282 |
2,174 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
89 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |