| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
312 |
299 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
302 |
296 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
83 |
$7K |
| 99460 |
|
62 |
62 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
72 |
72 |
$4K |
| 90723 |
|
118 |
117 |
$4K |
| 54150 |
|
13 |
12 |
$2K |
| 90670 |
|
178 |
177 |
$1K |
| 90647 |
|
48 |
48 |
$353.04 |
| 90681 |
|
43 |
43 |
$313.54 |
| 90648 |
|
43 |
43 |
$313.04 |
| 90686 |
|
39 |
39 |
$287.72 |
| 90685 |
|
16 |
16 |
$118.08 |