| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
489 |
485 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
512 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
342 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
264 |
233 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
202 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
734 |
677 |
$12K |
| 92081 |
|
398 |
392 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,369 |
1,336 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90461 |
|
148 |
146 |
$1K |
| 90649 |
|
26 |
26 |
$931.77 |
| 83655 |
|
90 |
90 |
$901.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
38 |
$855.14 |
| 86580 |
|
83 |
82 |
$459.79 |
| 99000 |
|
639 |
609 |
$431.02 |
| 90670 |
|
13 |
13 |
$301.30 |
| 99173 |
|
58 |
58 |
$226.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$195.45 |
| 90658 |
|
23 |
23 |
$193.61 |
| 81001 |
|
76 |
75 |
$192.04 |
| 90734 |
|
12 |
12 |
$181.55 |
| 85032 |
|
28 |
28 |
$96.52 |
| 90633 |
|
12 |
12 |
$82.43 |