| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,750 |
1,633 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,309 |
1,209 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
428 |
403 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
313 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,576 |
1,520 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$5K |
| 97802 |
|
213 |
203 |
$4K |
| 99385 |
|
31 |
29 |
$2K |
| 99386 |
|
14 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$949.89 |
| 81025 |
|
297 |
266 |
$770.42 |
| 81002 |
|
637 |
580 |
$640.16 |
| 85018 |
|
501 |
482 |
$312.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
38 |
$312.24 |
| 99443 |
|
18 |
15 |
$309.60 |
| 99442 |
|
13 |
13 |
$229.45 |
| 90461 |
|
341 |
289 |
$193.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$190.00 |
| 99441 |
|
17 |
16 |
$135.75 |
| 82948 |
|
43 |
38 |
$87.74 |
| 92551 |
|
749 |
598 |
$9.93 |
| 1159F |
|
278 |
270 |
$0.00 |
| 99177 |
|
843 |
676 |
$0.00 |
| 90670 |
|
170 |
157 |
$0.00 |
| 1160F |
|
280 |
272 |
$0.00 |
| 3078F |
|
54 |
44 |
$0.00 |
| 90633 |
|
80 |
74 |
$0.00 |
| 4035F |
|
77 |
75 |
$0.00 |
| 2000F |
|
1,364 |
1,081 |
$0.00 |
| 3008F |
|
2,974 |
2,237 |
$0.00 |
| 90686 |
|
541 |
529 |
$0.00 |
| 2010F |
|
1,959 |
1,818 |
$0.00 |
| 96127 |
|
2,020 |
1,519 |
$0.00 |
| 2001F |
|
2,295 |
1,837 |
$0.00 |
| 36416 |
|
315 |
254 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
51 |
$0.00 |
| 99000 |
|
1,175 |
851 |
$0.00 |
| 3074F |
|
106 |
103 |
$0.00 |
| 1126F |
|
122 |
120 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90697 |
|
45 |
44 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |