| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,768 |
12,242 |
$627K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,853 |
3,567 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,728 |
1,544 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,635 |
1,458 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,038 |
909 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,152 |
967 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,043 |
2,623 |
$66K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,577 |
2,236 |
$33K |
| 92552 |
|
1,783 |
1,603 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
811 |
715 |
$22K |
| 90671 |
|
113 |
82 |
$10K |
| 99173 |
|
1,772 |
1,593 |
$9K |
| 96127 |
|
1,423 |
1,202 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,621 |
2,247 |
$5K |
| 90686 |
|
1,065 |
911 |
$5K |
| 96161 |
|
398 |
309 |
$3K |
| 90734 |
|
139 |
118 |
$651.40 |
| 90697 |
|
35 |
25 |
$600.00 |
| 90710 |
|
109 |
94 |
$299.13 |
| 90670 |
|
1,121 |
936 |
$250.93 |
| 90621 |
|
47 |
42 |
$185.96 |
| 90723 |
|
79 |
66 |
$109.68 |
| 90647 |
|
431 |
365 |
$69.60 |
| 3008F |
|
732 |
650 |
$4.00 |
| 90651 |
|
102 |
84 |
$0.00 |
| 90716 |
|
107 |
95 |
$0.00 |
| 90698 |
|
21 |
16 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |
| 90633 |
|
239 |
207 |
$0.00 |
| 90707 |
|
109 |
95 |
$0.00 |
| 90685 |
|
22 |
20 |
$0.00 |