| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
266 |
265 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
138 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
175 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
90 |
89 |
$6K |
| 99221 |
|
93 |
93 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
228 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$435.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$428.90 |
| 90686 |
|
45 |
45 |
$405.00 |
| 90697 |
|
38 |
38 |
$333.00 |
| 90670 |
|
41 |
41 |
$234.00 |
| 85018 |
|
47 |
39 |
$102.45 |
| 96160 |
|
130 |
126 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |