| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,811 |
1,596 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,536 |
2,205 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
501 |
435 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
456 |
401 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
1,343 |
1,246 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
246 |
234 |
$4K |
| 99051 |
|
400 |
344 |
$825.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$334.49 |
| 99173 |
|
39 |
38 |
$290.55 |
| 1003F |
|
919 |
793 |
$0.00 |
| 3008F |
|
3,822 |
3,147 |
$0.00 |