| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
136 |
$652.32 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$487.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
81 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
181 |
181 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
135 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
74 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
128 |
$0.00 |