| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
206 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
53 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
60 |
$1K |
| 99460 |
|
12 |
12 |
$693.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$524.76 |
| 90686 |
|
41 |
31 |
$373.04 |
| 90670 |
|
31 |
28 |
$303.12 |