| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,058 |
3,564 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,532 |
1,208 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,630 |
1,339 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
414 |
350 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
188 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
788 |
$15K |
| 90648 |
|
997 |
811 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
332 |
$9K |
| 90670 |
|
841 |
708 |
$9K |
| 90686 |
|
986 |
869 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
91 |
$9K |
| 90723 |
|
432 |
356 |
$4K |
| 96160 |
|
309 |
241 |
$4K |
| 99000 |
|
151 |
125 |
$3K |
| 92587 |
|
262 |
229 |
$3K |
| 90677 |
|
151 |
140 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
185 |
$2K |
| 96127 |
|
84 |
76 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
311 |
254 |
$1K |
| 90734 |
|
45 |
41 |
$586.99 |
| 90633 |
|
68 |
56 |
$562.66 |
| 96112 |
|
17 |
17 |
$527.00 |
| 90656 |
|
13 |
12 |
$217.23 |
| 90651 |
|
12 |
12 |
$200.52 |
| 96161 |
|
42 |
38 |
$0.00 |
| 1036F |
|
80 |
71 |
$0.00 |
| 1003F |
|
502 |
425 |
$0.00 |
| 3725F |
|
39 |
39 |
$0.00 |