| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99460 |
|
456 |
447 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
155 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
121 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
55 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
90 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
96 |
94 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
31 |
$4K |
| 92551 |
|
370 |
370 |
$3K |
| 99173 |
|
227 |
227 |
$1K |
| 90686 |
|
69 |
69 |
$772.50 |
| 99177 |
|
37 |
37 |
$304.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
18 |
$35.00 |
| 96127 |
|
24 |
24 |
$27.00 |
| 96160 |
|
36 |
36 |
$7.83 |
| 91307 |
|
14 |
14 |
$0.14 |
| 90670 |
|
25 |
25 |
$0.00 |