| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,201 |
1,841 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
662 |
455 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
429 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
279 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
393 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
77 |
$7K |
| 90686 |
|
562 |
462 |
$4K |
| 92587 |
|
247 |
148 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
245 |
140 |
$4K |
| 90670 |
|
271 |
217 |
$3K |
| 96160 |
|
252 |
191 |
$3K |
| 90648 |
|
310 |
218 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
148 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
320 |
209 |
$1K |
| 90734 |
|
52 |
43 |
$1K |
| 96111 |
|
67 |
49 |
$948.20 |
| 90633 |
|
98 |
70 |
$853.13 |
| 90651 |
|
14 |
13 |
$740.93 |
| 90723 |
|
81 |
61 |
$670.15 |
| 96112 |
|
21 |
16 |
$651.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$423.90 |
| 90715 |
|
12 |
12 |
$173.61 |
| 82465 |
|
15 |
15 |
$63.60 |
| 1003F |
|
81 |
69 |
$0.00 |
| 99177 |
|
39 |
37 |
$0.00 |