| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
703 |
594 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
248 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
208 |
$4K |
| 90686 |
|
166 |
161 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
106 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$1K |
| 96127 |
|
121 |
120 |
$784.80 |
| 90670 |
|
41 |
32 |
$702.72 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$478.40 |
| 96160 |
|
80 |
79 |
$347.60 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
70 |
$337.20 |
| 90647 |
|
15 |
15 |
$329.40 |
| 90685 |
|
16 |
12 |
$263.52 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
38 |
$81.90 |
| 81001 |
|
12 |
12 |
$53.40 |
| 99174 |
|
14 |
14 |
$0.00 |