| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,775 |
5,823 |
$407K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,688 |
1,669 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,256 |
1,224 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
739 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
597 |
557 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
451 |
449 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,810 |
2,676 |
$5K |
| 99383 |
|
46 |
45 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
732 |
624 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
244 |
$3K |
| 99384 |
|
23 |
23 |
$2K |
| 99381 |
|
30 |
25 |
$2K |
| 99382 |
|
16 |
16 |
$1K |
| 96127 |
|
463 |
460 |
$351.55 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$320.90 |
| 92558 |
|
28 |
28 |
$204.33 |
| 36416 |
|
434 |
405 |
$149.93 |
| 83655 |
|
60 |
59 |
$99.00 |
| 85018 |
|
129 |
126 |
$36.40 |
| 99177 |
|
100 |
100 |
$16.56 |
| 96161 |
|
106 |
102 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$0.00 |