| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,952 |
10,284 |
$717K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,664 |
5,588 |
$452K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
968 |
968 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
794 |
794 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,340 |
1,338 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
160 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
121 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
994 |
981 |
$3K |
| 90756 |
|
89 |
89 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
98 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
137 |
$1K |
| 99442 |
|
118 |
96 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99406 |
|
80 |
80 |
$649.60 |
| 90656 |
|
27 |
27 |
$518.17 |
| 81025 |
|
69 |
68 |
$449.41 |
| 3074F |
|
12 |
12 |
$0.00 |