| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
649 |
565 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
437 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
612 |
$31K |
| 90677 |
|
342 |
309 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
225 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
488 |
440 |
$9K |
| 90723 |
|
293 |
249 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
63 |
$5K |
| 96127 |
|
303 |
276 |
$5K |
| 90680 |
|
269 |
230 |
$4K |
| 90647 |
|
262 |
215 |
$4K |
| 90686 |
|
179 |
173 |
$3K |
| 83655 |
|
220 |
173 |
$3K |
| 99460 |
|
60 |
60 |
$2K |
| 90633 |
|
133 |
102 |
$2K |
| 90656 |
|
98 |
97 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
41 |
$1K |
| 85018 |
|
302 |
248 |
$698.44 |
| 96160 |
|
33 |
27 |
$490.00 |
| 90734 |
|
15 |
13 |
$250.65 |
| 90670 |
|
14 |
14 |
$233.94 |
| 90710 |
|
12 |
12 |
$200.52 |
| 90696 |
|
12 |
12 |
$200.52 |