| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,379 |
7,101 |
$487K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,185 |
1,075 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,018 |
917 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
842 |
744 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
480 |
403 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
400 |
351 |
$30K |
| 99173 |
|
1,251 |
1,126 |
$9K |
| 90688 |
|
1,248 |
1,069 |
$9K |
| 90651 |
|
353 |
293 |
$7K |
| 86580 |
|
1,557 |
1,336 |
$7K |
| 96160 |
|
419 |
381 |
$6K |
| 90700 |
|
635 |
575 |
$4K |
| 90670 |
|
437 |
373 |
$4K |
| 90713 |
|
465 |
393 |
$3K |
| 90648 |
|
446 |
396 |
$3K |
| 90734 |
|
203 |
153 |
$2K |
| 90685 |
|
229 |
208 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
80 |
$1K |
| 90680 |
|
127 |
112 |
$806.40 |
| 90633 |
|
44 |
38 |
$334.58 |
| 90716 |
|
32 |
31 |
$326.82 |
| 90744 |
|
41 |
39 |
$262.40 |
| 90715 |
|
25 |
25 |
$224.54 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
48 |
$209.10 |
| 82947 |
|
52 |
50 |
$179.54 |
| 90707 |
|
14 |
14 |
$160.52 |
| 1036F |
|
269 |
221 |
$0.00 |
| 1220F |
|
53 |
53 |
$0.00 |
| 97802 |
|
110 |
104 |
$0.00 |
| 1003F |
|
455 |
391 |
$0.00 |