| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
739 |
717 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
327 |
310 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
287 |
$25K |
| 99477 |
|
67 |
63 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
170 |
163 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
256 |
250 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
155 |
$14K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
49 |
27 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
43 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 99460 |
|
26 |
26 |
$2K |
| 99235 |
|
13 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$1K |
| 99173 |
|
53 |
53 |
$852.41 |
| 90686 |
|
75 |
74 |
$710.50 |
| 92551 |
|
12 |
12 |
$457.29 |
| 83655 |
|
13 |
13 |
$227.90 |
| 85018 |
|
13 |
13 |
$44.28 |