| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,197 |
6,572 |
$256K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,875 |
1,868 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,902 |
2,762 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,535 |
1,525 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,177 |
5,047 |
$69K |
| 99441 |
|
2,704 |
2,573 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,440 |
1,427 |
$57K |
| 92551 |
|
4,092 |
4,082 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
599 |
589 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
4,952 |
4,861 |
$7K |
| 99173 |
|
3,300 |
3,287 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
69 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
169 |
$3K |
| 36400 |
|
297 |
297 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
413 |
409 |
$1K |
| 97803 |
|
163 |
163 |
$932.24 |
| 99442 |
|
45 |
42 |
$607.48 |
| 0001A |
|
14 |
13 |
$498.28 |
| 99000 |
|
230 |
215 |
$166.50 |
| 86580 |
|
16 |
16 |
$101.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
100 |
100 |
$54.00 |
| 90686 |
|
532 |
532 |
$19.16 |
| 90672 |
|
33 |
33 |
$18.82 |
| 90710 |
|
156 |
156 |
$17.85 |
| 90651 |
|
115 |
115 |
$17.85 |
| 97802 |
|
76 |
76 |
$16.00 |
| 99408 |
|
13 |
13 |
$2.04 |
| 99406 |
|
13 |
13 |
$1.00 |
| 90633 |
|
256 |
255 |
$0.00 |
| 90630 |
|
295 |
295 |
$0.00 |
| 90670 |
|
638 |
637 |
$0.00 |
| 90658 |
|
464 |
464 |
$0.00 |
| 90734 |
|
83 |
83 |
$0.00 |
| 90649 |
|
88 |
87 |
$0.00 |
| 90715 |
|
54 |
53 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90619 |
|
90 |
90 |
$0.00 |
| 90744 |
|
189 |
189 |
$0.00 |
| 4293F |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 90698 |
|
430 |
428 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 90657 |
|
83 |
83 |
$0.00 |