| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
1,597 |
1,558 |
$95K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,948 |
1,909 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,439 |
776 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,898 |
9,254 |
$28K |
| 99460 |
|
647 |
639 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,669 |
2,432 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,420 |
2,280 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,895 |
1,825 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,073 |
940 |
$14K |
| 99462 |
|
453 |
428 |
$9K |
| 92551 |
|
4,117 |
3,864 |
$8K |
| 90686 |
|
2,383 |
2,245 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,160 |
1,373 |
$7K |
| 97803 |
|
5,254 |
5,103 |
$5K |
| 90670 |
|
1,372 |
1,190 |
$5K |
| 90651 |
|
1,157 |
1,085 |
$4K |
| 0071A |
|
104 |
104 |
$4K |
| 92081 |
|
4,805 |
4,557 |
$4K |
| 0072A |
|
95 |
95 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
590 |
584 |
$3K |
| 90698 |
|
773 |
659 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,403 |
1,322 |
$3K |
| 90633 |
|
732 |
642 |
$2K |
| 92552 |
|
623 |
621 |
$2K |
| 90621 |
|
328 |
312 |
$2K |
| 90680 |
|
485 |
423 |
$2K |
| 90734 |
|
373 |
339 |
$1K |
| 90744 |
|
264 |
221 |
$951.61 |
| 90619 |
|
86 |
86 |
$405.00 |
| 90688 |
|
139 |
126 |
$369.00 |
| 90700 |
|
63 |
55 |
$234.00 |
| 90710 |
|
84 |
79 |
$234.00 |
| 90715 |
|
69 |
64 |
$117.00 |
| 90685 |
|
53 |
47 |
$115.66 |
| 90696 |
|
28 |
26 |
$54.00 |
| 90648 |
|
15 |
12 |
$45.00 |
| 99072 |
|
49 |
49 |
$9.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$0.00 |
| 86580 |
|
17 |
16 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |
| 99401 |
|
17 |
17 |
$0.00 |
| 90461 |
|
50 |
42 |
$0.00 |