| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
411 |
325 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
358 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
93 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
211 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
53 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
247 |
162 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 90670 |
|
174 |
145 |
$1K |
| 90686 |
|
169 |
155 |
$1K |
| 99460 |
|
16 |
14 |
$847.53 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
12 |
$658.93 |
| 0072A |
|
15 |
14 |
$632.10 |
| 90648 |
|
95 |
70 |
$608.00 |
| 0071A |
|
23 |
16 |
$600.00 |
| 90680 |
|
50 |
36 |
$320.00 |
| 90633 |
|
35 |
26 |
$224.00 |
| 90710 |
|
28 |
27 |
$179.20 |
| 90723 |
|
23 |
13 |
$147.20 |