| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,616 |
5,544 |
$460K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,769 |
1,459 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
286 |
251 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
283 |
242 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
200 |
169 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
754 |
710 |
$12K |
| 92592 |
|
702 |
681 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
58 |
$5K |
| 99173 |
|
720 |
698 |
$5K |
| 99407 |
|
176 |
159 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
33 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
127 |
91 |
$133.28 |
| 99000 |
|
66 |
48 |
$39.99 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
142 |
127 |
$0.45 |
| 99402 |
|
42 |
38 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |