| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,157 |
2,936 |
$305K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
539 |
484 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
228 |
202 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
41 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,273 |
1,179 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 90686 |
|
128 |
124 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$3K |
| 92551 |
|
255 |
246 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| 0001A |
|
43 |
38 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
101 |
$1K |
| 90688 |
|
36 |
36 |
$721.65 |
| 99173 |
|
269 |
259 |
$675.98 |
| 96127 |
|
133 |
132 |
$616.91 |
| 0072A |
|
12 |
12 |
$480.00 |