| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
202 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
110 |
108 |
$5K |
| 99460 |
|
85 |
85 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
37 |
$1K |
| 92558 |
|
42 |
42 |
$512.40 |
| 99173 |
|
30 |
30 |
$223.50 |
| 85018 |
|
20 |
20 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
32 |
$0.00 |
| 90670 |
|
24 |
13 |
$0.00 |