| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
532 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$8K |
| 92552 |
|
327 |
324 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
52 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
47 |
$4K |
| 90686 |
|
130 |
129 |
$3K |
| 90688 |
|
49 |
49 |
$1K |
| 99173 |
|
442 |
440 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
85 |
67 |
$735.38 |
| 0072A |
|
13 |
13 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
29 |
$140.19 |
| 94760 |
|
12 |
12 |
$28.60 |