| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,030 |
2,941 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,577 |
1,216 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
72 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
274 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
72 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
177 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
39 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
621 |
521 |
$3K |
| 90686 |
|
90 |
73 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
85 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
35 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
16 |
$2K |
| 92551 |
|
133 |
127 |
$2K |
| 99490 |
Ccm add 20min |
216 |
141 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
104 |
$904.20 |
| 90473 |
|
18 |
12 |
$132.24 |