| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,087 |
1,926 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,459 |
2,299 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,187 |
1,061 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
571 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
681 |
626 |
$57K |
| 90686 |
|
1,788 |
1,567 |
$25K |
| 96160 |
|
1,227 |
1,102 |
$18K |
| 90670 |
|
953 |
852 |
$14K |
| 90723 |
|
818 |
717 |
$12K |
| 96127 |
|
751 |
658 |
$11K |
| 90647 |
|
754 |
676 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
423 |
379 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
91 |
$10K |
| 90680 |
|
473 |
417 |
$6K |
| 90677 |
|
179 |
155 |
$5K |
| 91321 |
|
112 |
72 |
$2K |
| 90656 |
|
94 |
94 |
$2K |
| 90681 |
|
83 |
78 |
$1K |
| 90633 |
|
85 |
82 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$575.45 |
| 0072A |
|
13 |
13 |
$557.90 |
| 0071A |
|
12 |
12 |
$512.40 |
| 90710 |
|
13 |
13 |
$287.80 |