| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99384 |
|
1,292 |
1,160 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,235 |
3,683 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,089 |
1,903 |
$33K |
| G9920 |
Screening performed and negative |
924 |
923 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
231 |
$23K |
| 92551 |
|
1,873 |
1,871 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$3K |
| 92552 |
|
140 |
140 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
136 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 96127 |
|
316 |
313 |
$832.13 |
| 90658 |
|
123 |
122 |
$678.85 |
| 85018 |
|
256 |
256 |
$474.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
137 |
134 |
$414.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
24 |
$274.72 |
| 83026 |
|
40 |
40 |
$105.30 |
| 99000 |
|
29 |
29 |
$3.27 |
| 3008F |
|
188 |
179 |
$0.00 |
| 3074F |
|
115 |
111 |
$0.00 |
| 99243 |
|
78 |
71 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| 92560 |
|
14 |
14 |
$0.00 |
| 99442 |
|
652 |
618 |
$0.00 |
| 99242 |
|
401 |
365 |
$0.00 |
| 3078F |
|
76 |
72 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 99401 |
|
15 |
14 |
$0.00 |