| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,202 |
876 |
$75K |
| 99215 |
Prolong outpt/office vis |
235 |
194 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
92 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
85 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
132 |
$8K |
| 97803 |
|
314 |
250 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
259 |
221 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
48 |
$598.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
437 |
326 |
$413.25 |
| 97802 |
|
35 |
30 |
$222.42 |
| 85018 |
|
223 |
186 |
$178.21 |
| 90461 |
|
30 |
29 |
$156.00 |
| 81000 |
|
47 |
44 |
$117.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
13 |
$45.78 |
| 81002 |
|
16 |
14 |
$20.21 |
| 99173 |
|
19 |
12 |
$13.24 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
22 |
$13.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
14 |
$12.00 |
| 96127 |
|
17 |
13 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 90655 |
|
25 |
14 |
$0.00 |