| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
439 |
419 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
688 |
670 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
194 |
$17K |
| 99460 |
|
152 |
149 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
118 |
117 |
$7K |
| 90723 |
|
157 |
157 |
$5K |
| 90686 |
|
489 |
485 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$2K |
| 90670 |
|
257 |
256 |
$2K |
| 54150 |
|
12 |
12 |
$2K |
| 90681 |
|
37 |
37 |
$269.56 |
| 90647 |
|
13 |
13 |
$95.94 |
| 90685 |
|
13 |
13 |
$95.84 |
| 90633 |
|
13 |
13 |
$94.64 |