| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,192 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
530 |
481 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
227 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
203 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
104 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
421 |
409 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
72 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
238 |
227 |
$815.90 |
| 90686 |
|
122 |
107 |
$780.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
53 |
$681.56 |
| 36416 |
|
98 |
70 |
$377.20 |
| 85018 |
|
96 |
67 |
$208.80 |
| 90651 |
|
24 |
24 |
$153.60 |
| 90734 |
|
14 |
14 |
$89.60 |
| 90648 |
|
13 |
13 |
$83.20 |
| 90685 |
|
13 |
12 |
$83.20 |
| 90700 |
|
12 |
12 |
$76.80 |
| 99051 |
|
365 |
348 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
17 |
$0.00 |