| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,927 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
801 |
760 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
754 |
728 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
511 |
496 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
342 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
375 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,698 |
2,579 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,247 |
1,817 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
406 |
$13K |
| 92551 |
|
1,379 |
1,315 |
$9K |
| 96127 |
|
613 |
592 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
29 |
$2K |
| 99384 |
|
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
292 |
284 |
$723.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$200.66 |
| 99188 |
|
14 |
12 |
$76.02 |
| 96160 |
|
114 |
113 |
$73.57 |
| 90658 |
|
180 |
172 |
$24.28 |
| 96161 |
|
31 |
29 |
$21.90 |
| S9470 |
Nutritional counseling, dietitian visit |
14 |
13 |
$5.00 |
| 90686 |
|
65 |
61 |
$0.02 |
| 90670 |
|
253 |
234 |
$0.01 |
| 90688 |
|
20 |
19 |
$0.00 |
| 90698 |
|
73 |
71 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90651 |
|
49 |
46 |
$0.00 |
| 90461 |
|
873 |
708 |
$0.00 |
| 99173 |
|
1,320 |
1,261 |
$0.00 |
| 90633 |
|
88 |
83 |
$0.00 |
| 93770 |
|
1,566 |
1,465 |
$0.00 |
| 90734 |
|
118 |
109 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90648 |
|
19 |
16 |
$0.00 |
| 90649 |
|
53 |
51 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 99072 |
|
20 |
20 |
$0.00 |