| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
691 |
688 |
$65K |
| 92552 |
|
2,034 |
2,025 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,432 |
526 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,056 |
7,527 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
262 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
358 |
351 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
254 |
$19K |
| G9920 |
Screening performed and negative |
405 |
401 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
432 |
422 |
$13K |
| 90686 |
|
579 |
578 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,061 |
2,860 |
$10K |
| 99173 |
|
1,519 |
1,511 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$7K |
| 85018 |
|
2,479 |
2,460 |
$4K |
| 81002 |
|
1,891 |
1,879 |
$4K |
| 90651 |
|
112 |
112 |
$3K |
| 96127 |
|
356 |
356 |
$2K |
| 90715 |
|
76 |
76 |
$2K |
| 90656 |
|
66 |
66 |
$2K |
| 90734 |
|
40 |
40 |
$720.00 |
| 90633 |
|
28 |
28 |
$486.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
217 |
$362.18 |
| 99188 |
|
13 |
13 |
$351.00 |
| 90670 |
|
16 |
16 |
$274.46 |
| 90698 |
|
12 |
12 |
$216.00 |
| 86580 |
|
14 |
14 |
$48.02 |
| 1036F |
|
254 |
250 |
$0.00 |
| 3074F |
|
200 |
198 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3078F |
|
187 |
186 |
$0.00 |
| 99499 |
|
444 |
443 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |