| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
286 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
453 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
139 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
246 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
40 |
$3K |
| 90670 |
|
137 |
136 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
35 |
25 |
$1K |
| 90633 |
|
98 |
96 |
$786.12 |
| 90647 |
|
102 |
100 |
$705.26 |
| 90723 |
|
70 |
70 |
$616.20 |
| 90680 |
|
54 |
54 |
$529.98 |
| 90685 |
|
54 |
54 |
$385.40 |
| 99460 |
|
12 |
12 |
$348.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$333.45 |
| 90716 |
|
39 |
39 |
$249.60 |
| 90707 |
|
39 |
39 |
$249.60 |
| 90700 |
|
27 |
25 |
$202.80 |
| 90686 |
|
12 |
12 |
$76.80 |