| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,018 |
2,646 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
596 |
591 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
406 |
402 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
623 |
582 |
$19K |
| 96156 |
|
93 |
93 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
87 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$4K |
| 99460 |
|
65 |
63 |
$3K |
| 96151 |
|
55 |
55 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
48 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$836.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$825.96 |
| 90658 |
|
97 |
97 |
$750.00 |
| 90698 |
|
54 |
54 |
$610.75 |
| 90670 |
|
62 |
62 |
$566.44 |
| 90671 |
|
17 |
17 |
$394.66 |
| 90700 |
|
30 |
28 |
$270.00 |
| 90633 |
|
27 |
27 |
$259.00 |
| 90707 |
|
26 |
26 |
$255.00 |
| 99462 |
|
12 |
12 |
$180.98 |
| 90657 |
|
13 |
13 |
$147.00 |
| 90716 |
|
15 |
15 |
$135.00 |
| 90713 |
|
14 |
14 |
$126.00 |
| 90648 |
|
14 |
14 |
$126.00 |
| 90680 |
|
13 |
13 |
$117.00 |