| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,603 |
2,350 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
560 |
534 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
952 |
919 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,057 |
1,291 |
$6K |
| 90620 |
|
293 |
183 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
492 |
485 |
$5K |
| 90651 |
|
292 |
173 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
37 |
$3K |
| 90686 |
|
1,596 |
1,035 |
$2K |
| 90619 |
|
14 |
14 |
$2K |
| 96127 |
|
493 |
480 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
49 |
$2K |
| 90461 |
|
52 |
49 |
$580.00 |
| 90715 |
|
91 |
58 |
$419.28 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
147 |
$215.82 |
| 90713 |
|
416 |
224 |
$162.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
15 |
$161.00 |
| 90716 |
|
130 |
72 |
$159.24 |
| 90700 |
|
523 |
275 |
$135.75 |
| 90707 |
|
182 |
104 |
$87.62 |
| 90744 |
|
71 |
45 |
$82.08 |
| 36416 |
|
58 |
50 |
$51.68 |
| 92587 |
|
1,230 |
722 |
$16.74 |
| 90648 |
|
391 |
204 |
$12.92 |
| 99174 |
|
13 |
13 |
$5.28 |
| 96160 |
|
48 |
47 |
$0.00 |
| 90670 |
|
389 |
201 |
$0.00 |
| 90633 |
|
199 |
108 |
$0.00 |
| 99072 |
|
25 |
25 |
$0.00 |
| 90680 |
|
159 |
79 |
$0.00 |
| 3008F |
|
122 |
122 |
$0.00 |
| 97802 |
|
18 |
18 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
18 |
$0.00 |
| 99050 |
|
31 |
22 |
$0.00 |