| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
359 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
172 |
170 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
158 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
932 |
347 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
107 |
$3K |
| 90461 |
|
275 |
233 |
$2K |
| 99460 |
|
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
81 |
$841.06 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$664.18 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$157.70 |
| 90670 |
|
75 |
75 |
$0.00 |
| 90648 |
|
50 |
50 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90723 |
|
32 |
32 |
$0.00 |