| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,305 |
7,187 |
$628K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,273 |
4,023 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
130 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
102 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
93 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
133 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
124 |
$3K |
| 82947 |
|
724 |
520 |
$3K |
| 94760 |
|
904 |
594 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$1K |
| 96127 |
|
60 |
48 |
$710.24 |
| 81002 |
|
223 |
177 |
$592.07 |
| 99173 |
|
58 |
40 |
$470.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
19 |
$395.96 |
| 90630 |
|
24 |
18 |
$334.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
29 |
$271.73 |
| J2650 |
Injection, prednisolone acetate, up to 1 ml |
82 |
69 |
$270.00 |
| 36415 |
Collection of venous blood by venipuncture |
201 |
160 |
$49.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
27 |
$47.20 |
| 82962 |
|
18 |
12 |
$30.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$26.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
72 |
$0.00 |
| 90461 |
|
27 |
24 |
$0.00 |
| 99442 |
|
13 |
12 |
$0.00 |