| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99441 |
|
195 |
154 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,717 |
7,148 |
$2K |
| 99401 |
|
5,631 |
4,713 |
$233.78 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
393 |
355 |
$90.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,002 |
922 |
$55.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,806 |
2,489 |
$30.00 |
| 86580 |
|
288 |
288 |
$30.00 |
| 80061 |
Lipid panel |
1,445 |
1,285 |
$30.00 |
| 96127 |
|
771 |
664 |
$23.24 |
| 81000 |
|
1,420 |
1,248 |
$20.92 |
| 92551 |
|
414 |
409 |
$20.00 |
| 96160 |
|
2,121 |
1,903 |
$12.83 |
| 83655 |
|
168 |
149 |
$5.00 |
| 99173 |
|
708 |
610 |
$1.60 |
| 99177 |
|
219 |
218 |
$0.02 |
| 96156 |
|
149 |
141 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
151 |
141 |
$0.00 |
| 96150 |
|
152 |
152 |
$0.00 |
| 99174 |
|
13 |
13 |
$0.00 |
| 92558 |
|
16 |
16 |
$0.00 |
| 86701 |
|
48 |
42 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
582 |
528 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
73 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
57 |
$0.00 |
| 99408 |
|
80 |
41 |
$0.00 |