| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
839 |
798 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
595 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
432 |
$23K |
| 99460 |
|
206 |
204 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
150 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
197 |
195 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
28 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$1K |
| 90670 |
|
43 |
27 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
55 |
$1K |
| 90686 |
|
93 |
45 |
$956.43 |
| 54150 |
|
12 |
12 |
$930.00 |
| 90648 |
|
70 |
40 |
$464.51 |
| 99462 |
|
16 |
15 |
$407.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$296.60 |
| 90723 |
|
43 |
26 |
$275.20 |