| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,424 |
1,364 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,285 |
4,121 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
540 |
505 |
$26K |
| 92283 |
|
1,114 |
1,113 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
534 |
531 |
$19K |
| 92551 |
|
1,221 |
1,218 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
195 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
150 |
$9K |
| 90686 |
|
335 |
335 |
$3K |
| 90670 |
|
351 |
346 |
$3K |
| 90698 |
|
316 |
308 |
$3K |
| 92552 |
|
48 |
48 |
$704.75 |
| 96127 |
|
138 |
138 |
$681.00 |
| 90685 |
|
68 |
67 |
$656.37 |
| 99460 |
|
13 |
13 |
$407.84 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$324.88 |
| 99188 |
|
13 |
13 |
$196.65 |
| 90744 |
|
25 |
25 |
$174.88 |
| 90677 |
|
27 |
27 |
$163.12 |
| 83655 |
|
17 |
17 |
$138.71 |
| 90710 |
|
13 |
13 |
$119.04 |
| 90651 |
|
12 |
12 |
$119.04 |
| 90633 |
|
12 |
12 |
$117.20 |
| 92081 |
|
40 |
40 |
$101.60 |