| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,441 |
4,617 |
$603K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,895 |
5,518 |
$561K |
| 99215 |
Prolong outpt/office vis |
1,071 |
919 |
$135K |
| 92567 |
|
1,717 |
1,611 |
$25K |
| 93000 |
|
1,595 |
1,412 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
129 |
$12K |
| 86580 |
|
2,055 |
1,789 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
86 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
57 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
51 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,431 |
2,169 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 81025 |
|
487 |
449 |
$2K |
| 90700 |
|
53 |
44 |
$907.92 |
| 81001 |
|
659 |
548 |
$570.32 |
| 81000 |
|
549 |
518 |
$419.20 |
| 99173 |
|
207 |
196 |
$334.22 |
| 90713 |
|
14 |
13 |
$256.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
14 |
$115.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$0.00 |
| 90461 |
|
19 |
19 |
$0.00 |