| Code | Description | Claims | Beneficiaries | Total Paid |
| 99239 |
Hospital discharge day management, more than 30 minutes |
315 |
315 |
$16K |
| 99460 |
|
310 |
309 |
$14K |
| G9920 |
Screening performed and negative |
766 |
742 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
434 |
422 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
805 |
769 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
822 |
817 |
$821.83 |
| 92551 |
|
192 |
192 |
$711.13 |
| 90686 |
|
68 |
64 |
$642.72 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$594.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
397 |
282 |
$456.44 |
| 90647 |
|
36 |
36 |
$324.00 |
| 90670 |
|
25 |
25 |
$225.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$162.84 |
| 90723 |
|
12 |
12 |
$108.00 |
| 97803 |
|
468 |
465 |
$101.70 |
| 3008F |
|
659 |
656 |
$80.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
350 |
350 |
$15.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |