| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,266 |
505 |
$163K |
| 96156 |
|
263 |
262 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
577 |
551 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
129 |
$8K |
| 92551 |
|
482 |
481 |
$7K |
| 92652 |
|
49 |
44 |
$4K |
| 92586 |
|
90 |
77 |
$4K |
| G9920 |
Screening performed and negative |
136 |
136 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
78 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
36 |
$3K |
| 96150 |
|
107 |
107 |
$2K |
| 85018 |
|
560 |
559 |
$2K |
| 81000 |
|
459 |
458 |
$2K |
| 96151 |
|
45 |
45 |
$1K |
| 99464 |
|
13 |
13 |
$742.79 |
| 90658 |
|
59 |
59 |
$531.00 |
| 99173 |
|
56 |
56 |
$378.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$235.62 |
| 92499 |
|
70 |
70 |
$227.80 |