| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,921 |
4,262 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,213 |
2,027 |
$218K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,230 |
1,979 |
$201K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,668 |
3,173 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,563 |
1,391 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,244 |
1,141 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
545 |
508 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,984 |
4,516 |
$55K |
| 90698 |
|
1,865 |
1,680 |
$39K |
| 90670 |
|
1,783 |
1,606 |
$37K |
| 90680 |
|
1,238 |
1,113 |
$26K |
| 99381 |
|
275 |
224 |
$22K |
| 90744 |
|
996 |
894 |
$20K |
| 90686 |
|
838 |
757 |
$17K |
| 90633 |
|
775 |
708 |
$16K |
| 90710 |
|
680 |
611 |
$14K |
| 90651 |
|
293 |
270 |
$6K |
| 90658 |
|
302 |
283 |
$6K |
| 99383 |
|
38 |
33 |
$4K |
| 96127 |
|
534 |
468 |
$2K |
| 90696 |
|
84 |
80 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 90655 |
|
79 |
67 |
$1K |
| 90734 |
|
58 |
57 |
$1K |
| 90619 |
|
28 |
25 |
$612.48 |
| 90656 |
|
23 |
17 |
$419.04 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
121 |
$395.02 |
| 36416 |
|
131 |
113 |
$60.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
131 |
$23.28 |
| 99188 |
|
16 |
14 |
$0.00 |
| 90461 |
|
141 |
88 |
$0.00 |
| 99000 |
|
350 |
292 |
$0.00 |