| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
216 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
129 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
118 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
95 |
$5K |
| 99381 |
|
16 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
49 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
40 |
$1K |
| 99188 |
|
89 |
62 |
$540.00 |
| 99173 |
|
177 |
152 |
$523.12 |
| 90686 |
|
135 |
128 |
$200.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
13 |
$118.65 |
| 90648 |
|
93 |
67 |
$80.00 |
| 90670 |
|
92 |
66 |
$70.00 |
| 90680 |
|
49 |
29 |
$0.00 |
| 90723 |
|
53 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$0.00 |
| 96161 |
|
24 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
66 |
64 |
$0.00 |
| 90633 |
|
23 |
13 |
$0.00 |