| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,971 |
9,305 |
$564K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,545 |
1,209 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
920 |
762 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
820 |
641 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
556 |
517 |
$27K |
| 99383 |
|
133 |
109 |
$13K |
| 99384 |
|
124 |
102 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
721 |
591 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
152 |
$5K |
| 90619 |
|
312 |
248 |
$5K |
| 90651 |
|
260 |
185 |
$4K |
| 90715 |
|
249 |
164 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
25 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$3K |
| 99000 |
|
92 |
68 |
$2K |
| 96127 |
|
87 |
86 |
$2K |
| 0003A |
|
22 |
20 |
$957.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$907.20 |
| 90686 |
|
47 |
42 |
$877.03 |
| 90734 |
|
29 |
12 |
$578.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$350.40 |
| 81002 |
|
129 |
115 |
$330.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$273.36 |
| 90710 |
|
16 |
16 |
$267.36 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
290 |
$68.02 |
| 91312 |
|
22 |
20 |
$0.02 |
| 3008F |
|
9,174 |
7,239 |
$0.00 |
| 3074F |
|
888 |
788 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
119 |
$0.00 |