| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
372 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
607 |
520 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
324 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
371 |
305 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
348 |
298 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
156 |
150 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
606 |
487 |
$5K |
| 99188 |
|
187 |
169 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
57 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
74 |
$481.60 |
| 83655 |
|
25 |
25 |
$423.60 |
| 96161 |
|
15 |
13 |
$138.88 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
12 |
$72.75 |
| 85018 |
|
13 |
13 |
$44.85 |
| 90461 |
|
112 |
109 |
$0.00 |