| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
505 |
485 |
$123K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
23 |
12 |
$35K |
| 99441 |
|
4,563 |
3,816 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,910 |
8,769 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$600.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
340 |
$26.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
51 |
$0.00 |
| 96127 |
|
33 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
31 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
386 |
$0.00 |
| 99408 |
|
56 |
54 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
42 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
144 |
$0.00 |
| 90687 |
|
19 |
17 |
$0.00 |