| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
487 |
$21K |
| 96156 |
|
787 |
787 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,288 |
1,174 |
$8K |
| 92551 |
|
761 |
761 |
$5K |
| 86580 |
|
728 |
728 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$3K |
| 85999 |
|
439 |
439 |
$1K |
| 81000 |
|
687 |
687 |
$1K |
| G9920 |
Screening performed and negative |
542 |
542 |
$1K |
| 99173 |
|
444 |
444 |
$1K |
| 90658 |
|
90 |
90 |
$814.76 |
| 90716 |
|
43 |
43 |
$387.00 |
| 90707 |
|
42 |
42 |
$378.00 |
| 85018 |
|
542 |
542 |
$302.51 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$281.82 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$226.28 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$224.76 |
| 90656 |
|
44 |
44 |
$144.00 |
| 90633 |
|
12 |
12 |
$108.00 |
| 90686 |
|
12 |
12 |
$90.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$23.09 |
| 96127 |
|
28 |
28 |
$0.00 |