| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,284 |
912 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
984 |
747 |
$4K |
| 99443 |
|
65 |
50 |
$723.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
39 |
$613.69 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
30 |
$482.12 |
| 99442 |
|
40 |
36 |
$467.94 |
| 1160F |
|
735 |
636 |
$397.04 |
| 3008F |
|
1,015 |
824 |
$382.86 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$226.88 |
| 1159F |
|
722 |
623 |
$212.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
269 |
$155.98 |
| 3016F |
|
382 |
345 |
$113.44 |
| 4037F |
|
37 |
30 |
$70.90 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$42.54 |
| 3074F |
|
330 |
286 |
$42.54 |
| 1220F |
|
76 |
69 |
$28.36 |
| 1036F |
|
202 |
184 |
$28.36 |
| 1126F |
|
53 |
52 |
$14.18 |
| 3078F |
|
310 |
267 |
$14.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
198 |
145 |
$14.18 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
451 |
271 |
$0.00 |
| 92551 |
|
275 |
167 |
$0.00 |
| 90674 |
|
17 |
13 |
$0.00 |
| 1000F |
|
27 |
27 |
$0.00 |
| 93000 |
|
56 |
49 |
$0.00 |
| 99173 |
|
259 |
162 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |