| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
517 |
489 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
394 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
544 |
526 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
502 |
490 |
$29K |
| 99477 |
|
73 |
73 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
91 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$3K |
| 99460 |
|
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
14 |
$1K |
| 90686 |
|
31 |
30 |
$280.01 |
| 99188 |
|
12 |
12 |
$232.01 |
| 96161 |
|
14 |
13 |
$31.34 |