| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
338 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
78 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$4K |
| 92551 |
|
150 |
150 |
$1K |
| 90647 |
|
27 |
27 |
$607.50 |
| 90677 |
|
25 |
25 |
$562.50 |
| 99173 |
|
139 |
139 |
$490.00 |
| 90686 |
|
15 |
15 |
$330.00 |
| 90633 |
|
13 |
13 |
$292.50 |
| 83655 |
|
13 |
13 |
$241.25 |
| 85018 |
|
12 |
12 |
$79.86 |