| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,247 |
1,185 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
498 |
462 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
278 |
$25K |
| 99477 |
|
66 |
65 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
282 |
277 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
171 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
163 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
53 |
$5K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
27 |
12 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$2K |
| 90686 |
|
149 |
145 |
$1K |
| 99173 |
|
16 |
14 |
$211.05 |
| 90670 |
|
14 |
14 |
$114.00 |
| 90647 |
|
12 |
12 |
$85.78 |
| 96161 |
|
30 |
25 |
$51.19 |