| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
1,040 |
976 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,286 |
1,207 |
$45K |
| 54150 |
|
597 |
560 |
$43K |
| 99463 |
|
216 |
212 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
87 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
64 |
62 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
69 |
29 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 0072A |
|
16 |
13 |
$672.10 |
| 0071A |
|
13 |
12 |
$463.54 |
| 99402 |
|
14 |
13 |
$360.00 |
| 96160 |
|
13 |
12 |
$233.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$112.51 |
| 90686 |
|
57 |
41 |
$12.80 |
| 91307 |
|
37 |
33 |
$0.04 |