| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 54150 |
|
491 |
351 |
$32K |
| 99460 |
|
711 |
514 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
825 |
614 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
68 |
$6K |
| 99463 |
|
171 |
126 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
48 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
16 |
$2K |
| 99462 |
|
87 |
58 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
42 |
$884.35 |
| 90648 |
|
26 |
21 |
$166.40 |
| 90670 |
|
26 |
21 |
$166.40 |
| 90723 |
|
26 |
21 |
$166.40 |
| 90680 |
|
25 |
20 |
$160.00 |
| 90686 |
|
35 |
25 |
$19.03 |
| 99072 |
|
15 |
13 |
$0.00 |