| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,257 |
1,132 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
826 |
753 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
714 |
640 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
330 |
305 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
195 |
$15K |
| 90670 |
|
129 |
49 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
88 |
$2K |
| 90686 |
|
95 |
48 |
$1K |
| 90648 |
|
167 |
65 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 90723 |
|
75 |
33 |
$949.97 |
| 90681 |
|
32 |
12 |
$897.52 |
| 83655 |
|
54 |
31 |
$456.78 |
| 99173 |
|
48 |
38 |
$357.60 |
| 90633 |
|
47 |
13 |
$295.02 |
| 96127 |
|
29 |
28 |
$284.60 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
35 |
$156.34 |
| 85027 |
|
33 |
27 |
$151.63 |