| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,395 |
1,129 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
379 |
312 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
416 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
229 |
198 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
121 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
511 |
428 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
69 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
203 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
260 |
$4K |
| 90686 |
|
505 |
477 |
$4K |
| 96127 |
|
163 |
132 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
107 |
97 |
$2K |
| 90734 |
|
23 |
19 |
$918.90 |
| 86580 |
|
172 |
135 |
$715.41 |
| 90651 |
|
42 |
33 |
$713.82 |
| 81002 |
|
267 |
214 |
$676.77 |
| 90670 |
|
58 |
52 |
$389.20 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
50 |
$274.70 |
| 90685 |
|
26 |
26 |
$213.62 |
| 90715 |
|
13 |
12 |
$115.25 |