| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,785 |
1,340 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,140 |
964 |
$85K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,419 |
2,164 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
501 |
442 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
786 |
703 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
81 |
$7K |
| 99460 |
|
150 |
144 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
166 |
159 |
$5K |
| 90670 |
|
618 |
505 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
127 |
$4K |
| 90723 |
|
561 |
435 |
$4K |
| 90647 |
|
556 |
422 |
$4K |
| 90680 |
|
524 |
407 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
264 |
235 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
25 |
$2K |
| 90686 |
|
138 |
122 |
$919.64 |
| 90633 |
|
125 |
98 |
$789.12 |
| 90700 |
|
35 |
30 |
$224.00 |
| 99174 |
|
14 |
14 |
$104.30 |