| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,518 |
4,314 |
$287K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,705 |
6,390 |
$284K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,349 |
2,329 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,288 |
2,148 |
$198K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,117 |
1,846 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,728 |
1,691 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,559 |
1,514 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,473 |
1,423 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,092 |
996 |
$11K |
| 97802 |
|
3,503 |
3,351 |
$6K |
| 96160 |
|
2,120 |
2,048 |
$6K |
| 96161 |
|
378 |
346 |
$967.91 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,398 |
5,227 |
$710.40 |
| 99429 |
|
80 |
47 |
$130.00 |
| 90633 |
|
559 |
521 |
$106.79 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
66 |
$96.75 |
| 90670 |
|
1,332 |
1,252 |
$83.68 |
| 96127 |
|
13 |
12 |
$54.00 |
| 90647 |
|
1,499 |
1,440 |
$0.00 |
| 90656 |
|
486 |
468 |
$0.00 |
| 90651 |
|
548 |
543 |
$0.00 |
| 90680 |
|
635 |
622 |
$0.00 |
| 90723 |
|
345 |
338 |
$0.00 |
| 90620 |
|
556 |
544 |
$0.00 |
| 90716 |
|
63 |
63 |
$0.00 |
| 90688 |
|
1,035 |
999 |
$0.00 |
| 90696 |
|
128 |
128 |
$0.00 |
| 90715 |
|
616 |
592 |
$0.00 |
| 90710 |
|
219 |
210 |
$0.00 |
| 90700 |
|
281 |
262 |
$0.00 |
| 90734 |
|
692 |
670 |
$0.00 |
| 90649 |
|
1,053 |
1,010 |
$0.00 |
| 90671 |
|
227 |
225 |
$0.00 |
| 90655 |
|
180 |
150 |
$0.00 |
| 90707 |
|
61 |
61 |
$0.00 |
| 90713 |
|
28 |
25 |
$0.00 |