| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,695 |
2,408 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
350 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
104 |
$13K |
| 96127 |
|
917 |
814 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
122 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
292 |
225 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
506 |
430 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
24 |
$1K |
| 90686 |
|
120 |
79 |
$882.19 |
| 99459 |
|
27 |
25 |
$685.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
34 |
$618.28 |
| 90461 |
|
18 |
12 |
$319.20 |
| 90656 |
|
38 |
36 |
$310.42 |