| Code | Description | Claims | Beneficiaries | Total Paid |
| 99460 |
|
697 |
662 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
785 |
702 |
$35K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
796 |
734 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
348 |
284 |
$23K |
| 54150 |
|
194 |
180 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
128 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
33 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
34 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
146 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90670 |
|
137 |
120 |
$873.60 |
| 99463 |
|
13 |
13 |
$865.15 |
| 90698 |
|
87 |
79 |
$553.60 |
| 90686 |
|
34 |
34 |
$464.99 |
| 90648 |
|
54 |
36 |
$345.60 |
| 90723 |
|
47 |
32 |
$300.80 |
| 90685 |
|
28 |
27 |
$218.02 |
| 90680 |
|
24 |
18 |
$153.60 |