| Code | Description | Claims | Beneficiaries | Total Paid |
| 99238 |
Hospital discharge day management, 30 minutes or less |
589 |
507 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,101 |
5,249 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,232 |
$11K |
| 99460 |
|
62 |
51 |
$4K |
| 90756 |
|
95 |
86 |
$1K |
| 99215 |
Prolong outpt/office vis |
143 |
120 |
$920.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
46 |
$573.56 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
52 |
$435.18 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
52 |
$164.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
252 |
$27.51 |
| 96160 |
|
24 |
24 |
$3.23 |
| G0008 |
Administration of influenza virus vaccine |
31 |
25 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
43 |
42 |
$0.00 |
| 99072 |
|
840 |
717 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
33 |
27 |
$0.00 |
| 99490 |
Ccm add 20min |
30 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
15 |
$0.00 |