| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
446 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,046 |
1,016 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
486 |
484 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
459 |
448 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
396 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
141 |
$17K |
| 99460 |
|
35 |
34 |
$4K |
| 99173 |
|
727 |
724 |
$3K |
| 92551 |
|
353 |
351 |
$3K |
| 90686 |
|
343 |
326 |
$3K |
| 99051 |
|
92 |
92 |
$3K |
| 90677 |
|
93 |
93 |
$2K |
| 90723 |
|
114 |
114 |
$2K |
| 96161 |
|
202 |
201 |
$2K |
| 90647 |
|
84 |
84 |
$2K |
| 90670 |
|
160 |
160 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
20 |
$760.75 |
| 90633 |
|
42 |
42 |
$675.00 |
| 90651 |
|
27 |
27 |
$607.50 |
| 90680 |
|
39 |
39 |
$607.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
131 |
$449.31 |
| 96127 |
|
238 |
237 |
$431.04 |
| 87428 |
|
12 |
12 |
$422.49 |
| 96160 |
|
238 |
237 |
$307.02 |
| 99188 |
|
12 |
12 |
$288.00 |
| 3008F |
|
171 |
164 |
$0.00 |