| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,374 |
2,019 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
624 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
730 |
614 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
380 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
299 |
$25K |
| 90651 |
|
326 |
249 |
$23K |
| 90686 |
|
1,631 |
1,370 |
$20K |
| 90670 |
|
348 |
294 |
$15K |
| 99401 |
|
554 |
290 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
803 |
678 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
781 |
629 |
$9K |
| 90698 |
|
345 |
292 |
$8K |
| 83655 |
|
672 |
555 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
65 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
331 |
$6K |
| 90620 |
|
91 |
76 |
$6K |
| 90734 |
|
173 |
152 |
$5K |
| 90710 |
|
112 |
89 |
$5K |
| 36416 |
|
953 |
785 |
$4K |
| 86580 |
|
815 |
666 |
$3K |
| 85018 |
|
954 |
798 |
$2K |
| 90633 |
|
129 |
108 |
$2K |
| 90685 |
|
141 |
118 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$913.40 |
| 90744 |
|
78 |
68 |
$865.16 |
| 90680 |
|
33 |
29 |
$791.43 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
69 |
$311.60 |
| 90715 |
|
14 |
12 |
$280.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
148 |
$0.00 |