| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,842 |
4,399 |
$341K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
760 |
739 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
612 |
600 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,124 |
2,100 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,121 |
1,086 |
$53K |
| 97802 |
|
2,007 |
2,005 |
$32K |
| 36415 |
Collection of venous blood by venipuncture |
3,690 |
3,610 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
76 |
$7K |
| 99406 |
|
491 |
490 |
$6K |
| 99408 |
|
536 |
534 |
$5K |
| 90473 |
|
297 |
297 |
$4K |
| 92081 |
|
97 |
97 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$3K |
| 96127 |
|
151 |
151 |
$690.96 |
| 83655 |
|
138 |
138 |
$359.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
33 |
$352.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
108 |
$47.64 |
| 87110 |
|
175 |
175 |
$11.70 |
| 4293F |
|
649 |
643 |
$0.00 |
| 1220F |
|
650 |
644 |
$0.00 |