| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
421 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
169 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
54 |
$4K |
| 99460 |
|
68 |
67 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
23 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
37 |
$2K |
| 90686 |
|
62 |
28 |
$566.54 |
| 99462 |
|
14 |
12 |
$359.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$257.12 |