| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
41 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
18 |
$982.62 |
| 99460 |
|
15 |
15 |
$941.40 |