| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,291 |
3,613 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,851 |
1,604 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,511 |
1,361 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
627 |
581 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
854 |
729 |
$21K |
| 99215 |
Prolong outpt/office vis |
286 |
254 |
$20K |
| 99460 |
|
215 |
121 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
190 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,109 |
1,067 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
51 |
$1K |
| 99382 |
|
20 |
16 |
$947.68 |
| 36415 |
Collection of venous blood by venipuncture |
423 |
386 |
$851.40 |
| 99464 |
|
14 |
12 |
$776.16 |
| 99383 |
|
18 |
16 |
$753.07 |
| 81002 |
|
221 |
92 |
$329.40 |
| 99000 |
|
155 |
141 |
$0.00 |