| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
399 |
388 |
$21K |
| 99460 |
|
175 |
175 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
133 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
115 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
140 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$969.36 |
| 90686 |
|
57 |
56 |
$409.42 |
| 90670 |
|
14 |
14 |
$103.32 |
| 90647 |
|
14 |
14 |
$103.32 |