| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,810 |
3,964 |
$491K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
579 |
534 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
562 |
481 |
$78K |
| 99215 |
Prolong outpt/office vis |
135 |
129 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
121 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
107 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
239 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$3K |
| 90461 |
|
44 |
41 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$720.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$708.24 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
12 |
$42.00 |