| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,489 |
5,153 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,133 |
2,567 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
290 |
237 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
215 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
45 |
40 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,574 |
1,334 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
143 |
$1K |
| 92551 |
|
263 |
210 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$815.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
68 |
55 |
$745.52 |
| 99173 |
|
263 |
214 |
$718.77 |
| 3074F |
|
661 |
545 |
$712.33 |
| 3078F |
|
643 |
533 |
$702.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
26 |
$659.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
25 |
$255.13 |
| 3079F |
|
110 |
102 |
$142.04 |
| 3077F |
|
77 |
71 |
$122.04 |
| 3080F |
|
46 |
44 |
$110.00 |
| 81002 |
|
77 |
63 |
$63.62 |
| 3075F |
|
59 |
53 |
$60.00 |
| 82962 |
|
17 |
13 |
$13.30 |
| 90688 |
|
29 |
27 |
$0.00 |