| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
368 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
228 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
94 |
$6K |
| 90686 |
|
117 |
68 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
14 |
$1K |
| 87428 |
|
17 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
38 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
14 |
$839.45 |
| 90670 |
|
63 |
46 |
$791.28 |
| 90651 |
|
29 |
13 |
$699.93 |
| 90648 |
|
33 |
24 |
$414.48 |
| 90680 |
|
32 |
24 |
$401.92 |
| 90723 |
|
17 |
12 |
$213.52 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$4.61 |