| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,459 |
4,844 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,297 |
1,177 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,842 |
1,655 |
$52K |
| 96160 |
|
1,575 |
1,492 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
245 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
589 |
573 |
$14K |
| 96127 |
|
2,511 |
2,142 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
596 |
283 |
$7K |
| 92552 |
|
424 |
410 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,933 |
2,692 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
627 |
553 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
66 |
$4K |
| 3008F |
|
7,994 |
7,132 |
$4K |
| 1159F |
|
6,002 |
5,406 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$830.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
15 |
$683.41 |
| 1111F |
|
166 |
152 |
$380.00 |
| 99173 |
|
39 |
39 |
$269.19 |
| 81002 |
|
60 |
50 |
$122.47 |
| 3080F |
|
25 |
24 |
$120.00 |
| 3077F |
|
17 |
16 |
$50.00 |
| 1003F |
|
162 |
155 |
$0.00 |
| 99072 |
|
3,857 |
3,325 |
$0.00 |
| 99499 |
|
790 |
566 |
$0.00 |
| 1160F |
|
1,881 |
1,688 |
$0.00 |