| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,755 |
2,188 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,679 |
1,563 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,789 |
2,538 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,241 |
1,101 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
247 |
$21K |
| 90723 |
|
1,163 |
1,002 |
$16K |
| 90647 |
|
959 |
862 |
$14K |
| 90670 |
|
1,083 |
926 |
$13K |
| 90681 |
|
635 |
552 |
$9K |
| 90686 |
|
734 |
678 |
$9K |
| 90677 |
|
422 |
396 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
84 |
$8K |
| 90633 |
|
289 |
268 |
$5K |
| 90656 |
|
115 |
110 |
$2K |
| 99460 |
|
26 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$1K |
| 90707 |
|
38 |
25 |
$589.33 |
| 90381 |
|
26 |
20 |
$434.46 |
| 90700 |
|
15 |
14 |
$250.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$219.80 |
| 90380 |
|
12 |
12 |
$201.36 |