| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,390 |
1,205 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
204 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
82 |
$8K |
| 90686 |
|
517 |
425 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
62 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
43 |
$3K |
| 99215 |
Prolong outpt/office vis |
65 |
64 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
108 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 90656 |
|
46 |
35 |
$873.93 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$79.95 |
| 90648 |
|
12 |
12 |
$76.80 |