| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
329 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
176 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
141 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
69 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
54 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
38 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
191 |
$3K |
| 90677 |
|
64 |
57 |
$2K |
| 90648 |
|
93 |
82 |
$2K |
| 96127 |
|
53 |
46 |
$1K |
| 90686 |
|
29 |
28 |
$484.59 |
| 90723 |
|
14 |
12 |
$233.94 |
| 90734 |
|
14 |
14 |
$233.94 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
28 |
$228.48 |
| 90656 |
|
13 |
12 |
$217.23 |
| 82465 |
|
19 |
18 |
$80.56 |
| 1036F |
|
26 |
24 |
$0.00 |
| 1003F |
|
92 |
84 |
$0.00 |
| 3725F |
|
15 |
14 |
$0.00 |