| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
704 |
669 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
633 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
527 |
518 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
670 |
$27K |
| 90698 |
|
507 |
498 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 99051 |
|
265 |
261 |
$3K |
| 90670 |
|
518 |
508 |
$3K |
| 90680 |
|
322 |
314 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
31 |
$1K |
| 90686 |
|
203 |
203 |
$1K |
| 90744 |
|
186 |
180 |
$992.42 |
| 99460 |
|
13 |
13 |
$819.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$356.94 |
| 90710 |
|
13 |
13 |
$293.18 |
| 90633 |
|
41 |
41 |
$229.28 |
| 83655 |
|
16 |
16 |
$184.04 |
| 90685 |
|
29 |
29 |
$155.45 |
| 96161 |
|
12 |
12 |
$30.36 |