| Code | Description | Claims | Beneficiaries | Total Paid |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,018 |
2,548 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
160 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
131 |
41 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
29 |
14 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
24 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$767.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
68 |
$486.08 |
| 93227 |
|
12 |
12 |
$271.71 |