| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,144 |
1,078 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,117 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
573 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
563 |
553 |
$69K |
| 99460 |
|
257 |
254 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
271 |
266 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
92 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$4K |
| 54150 |
|
12 |
12 |
$4K |
| 99383 |
|
12 |
12 |
$2K |
| 83655 |
|
29 |
29 |
$2K |
| 85018 |
|
29 |
29 |
$391.50 |