| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
341 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
119 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$3K |
| 99460 |
|
43 |
42 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
91 |
$2K |
| 54150 |
|
15 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$1K |
| 87428 |
|
18 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$998.92 |
| 96160 |
|
32 |
29 |
$493.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
12 |
$211.98 |