| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,824 |
1,661 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
934 |
784 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
631 |
522 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
236 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
71 |
$7K |
| 90670 |
|
532 |
453 |
$6K |
| 90686 |
|
566 |
497 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
40 |
$3K |
| 90647 |
|
163 |
155 |
$2K |
| 90723 |
|
202 |
159 |
$2K |
| 99460 |
|
15 |
15 |
$866.55 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$568.49 |
| 90633 |
|
55 |
38 |
$425.92 |
| 90677 |
|
17 |
15 |
$320.26 |
| 99174 |
|
40 |
30 |
$298.00 |
| 90681 |
|
16 |
14 |
$267.36 |