| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,956 |
1,730 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,158 |
1,010 |
$85K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,001 |
739 |
$72K |
| 0502F |
|
187 |
170 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
78 |
70 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
146 |
141 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$1K |
| 90686 |
|
16 |
13 |
$314.33 |
| 92551 |
|
18 |
18 |
$273.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$257.25 |
| 99173 |
|
19 |
19 |
$141.55 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
69 |
$11.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |