| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,377 |
5,778 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,250 |
1,232 |
$9K |
| 90700 |
|
1,558 |
1,550 |
$9K |
| 90686 |
|
1,572 |
1,566 |
$9K |
| 86580 |
|
1,447 |
1,442 |
$7K |
| 90713 |
|
1,188 |
1,182 |
$7K |
| 90670 |
|
1,136 |
1,127 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,772 |
1,761 |
$6K |
| 90651 |
|
1,155 |
1,149 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,452 |
1,439 |
$5K |
| 90648 |
|
925 |
920 |
$5K |
| 99381 |
|
119 |
118 |
$4K |
| 90716 |
|
714 |
710 |
$4K |
| 90707 |
|
693 |
690 |
$4K |
| 90734 |
|
661 |
660 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
174 |
$3K |
| 90633 |
|
591 |
589 |
$3K |
| 99383 |
|
119 |
119 |
$2K |
| 99382 |
|
97 |
94 |
$2K |
| 90744 |
|
352 |
350 |
$2K |
| 90715 |
|
254 |
253 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
117 |
$1K |
| 90680 |
|
146 |
146 |
$913.00 |
| 99384 |
|
41 |
41 |
$711.36 |
| 92551 |
|
62 |
62 |
$684.34 |
| 90621 |
|
78 |
78 |
$458.82 |
| 90698 |
|
66 |
66 |
$441.00 |
| 90619 |
|
59 |
59 |
$236.91 |
| 90677 |
|
38 |
38 |
$228.00 |
| 90672 |
|
17 |
17 |
$77.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
792 |
791 |
$19.80 |
| 96127 |
|
1,049 |
1,048 |
$4.76 |
| 36415 |
Collection of venous blood by venipuncture |
429 |
420 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
939 |
939 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
408 |
401 |
$0.00 |
| 1036F |
|
194 |
194 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
407 |
400 |
$0.00 |
| 3351F |
|
163 |
163 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
64 |
61 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
19 |
$0.00 |
| 83655 |
|
111 |
110 |
$0.00 |
| 96160 |
|
1,573 |
1,572 |
$0.00 |
| 81003 |
|
350 |
339 |
$0.00 |
| 99408 |
|
498 |
498 |
$0.00 |
| 80061 |
Lipid panel |
19 |
19 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |