| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,406 |
1,945 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
645 |
610 |
$5K |
| 99442 |
|
46 |
40 |
$587.47 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
295 |
$481.78 |
| 1160F |
|
3,345 |
2,899 |
$436.57 |
| 3008F |
|
2,894 |
2,454 |
$351.13 |
| 1159F |
|
3,348 |
2,904 |
$310.18 |
| 99443 |
|
12 |
12 |
$113.49 |
| 3074F |
|
158 |
151 |
$42.51 |
| 1170F |
|
157 |
152 |
$28.34 |
| 3016F |
|
73 |
68 |
$26.78 |
| 1126F |
|
247 |
232 |
$14.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
33 |
$12.61 |
| 3078F |
|
223 |
213 |
$0.00 |
| 1158F |
|
140 |
139 |
$0.00 |
| 99173 |
|
92 |
91 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
42 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
128 |
$0.00 |
| 1220F |
|
16 |
12 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
130 |
125 |
$0.00 |
| 1000F |
|
73 |
67 |
$0.00 |
| 1036F |
|
42 |
38 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
30 |
30 |
$0.00 |