| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,703 |
2,855 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
878 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
176 |
$14K |
| 90686 |
|
248 |
135 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
26 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
13 |
$1K |
| 90674 |
|
20 |
12 |
$622.93 |
| 90677 |
|
14 |
13 |
$507.81 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$305.40 |
| 96160 |
|
18 |
15 |
$144.54 |
| 81025 |
|
30 |
12 |
$86.37 |
| 86580 |
|
17 |
14 |
$71.00 |
| 81003 |
|
19 |
12 |
$35.52 |