| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,445 |
1,393 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,771 |
1,742 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
740 |
$32K |
| 92552 |
|
1,965 |
1,942 |
$29K |
| 92081 |
|
1,458 |
1,440 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
292 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,562 |
3,277 |
$13K |
| 90648 |
|
1,229 |
1,214 |
$11K |
| 90670 |
|
1,157 |
1,150 |
$10K |
| 90658 |
|
549 |
540 |
$7K |
| 90655 |
|
347 |
331 |
$6K |
| 90680 |
|
682 |
668 |
$6K |
| 90723 |
|
349 |
346 |
$3K |
| 90700 |
|
336 |
331 |
$3K |
| 90633 |
|
312 |
302 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 90707 |
|
222 |
221 |
$2K |
| 90716 |
|
200 |
199 |
$2K |
| 86580 |
|
215 |
204 |
$629.00 |
| 90713 |
|
65 |
64 |
$590.20 |
| 99460 |
|
25 |
25 |
$407.84 |
| 90744 |
|
18 |
18 |
$164.76 |
| 99462 |
|
15 |
12 |
$163.32 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$162.44 |
| 90734 |
|
12 |
12 |
$97.36 |