| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
230 |
$21K |
| 96127 |
|
489 |
357 |
$8K |
| 96160 |
|
494 |
397 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
49 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
115 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
31 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99173 |
|
233 |
207 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
45 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$1K |
| 90686 |
|
135 |
98 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
34 |
$838.98 |
| 83655 |
|
64 |
41 |
$733.08 |
| 36416 |
|
145 |
103 |
$538.16 |
| 90670 |
|
16 |
12 |
$533.06 |
| 85018 |
|
130 |
91 |
$298.86 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
18 |
$97.96 |