| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
438 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
728 |
630 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
282 |
263 |
$5K |
| 90686 |
|
170 |
159 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
79 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
86 |
$1K |
| 96127 |
|
186 |
170 |
$996.20 |
| 90633 |
|
47 |
43 |
$944.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
72 |
$918.00 |
| 90670 |
|
41 |
30 |
$658.80 |
| 90723 |
|
37 |
26 |
$570.96 |
| 90647 |
|
30 |
24 |
$527.04 |
| 99188 |
|
47 |
41 |
$518.80 |
| 90685 |
|
30 |
19 |
$417.24 |
| 96160 |
|
113 |
109 |
$407.66 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
53 |
$382.16 |
| 90651 |
|
16 |
16 |
$351.36 |
| 90680 |
|
21 |
12 |
$263.52 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
45 |
$98.70 |
| 81001 |
|
12 |
12 |
$33.22 |
| 99174 |
|
29 |
28 |
$0.00 |