| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
1,593 |
1,540 |
$29K |
| 90670 |
|
1,351 |
1,311 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,819 |
1,479 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,596 |
2,218 |
$20K |
| 90680 |
|
1,080 |
1,037 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,330 |
3,826 |
$16K |
| 90698 |
|
797 |
771 |
$14K |
| 96160 |
|
3,604 |
1,979 |
$14K |
| 96127 |
|
2,197 |
2,129 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,409 |
2,330 |
$11K |
| 92558 |
|
1,012 |
989 |
$11K |
| 90633 |
|
417 |
408 |
$8K |
| 90744 |
|
409 |
399 |
$8K |
| 90671 |
|
345 |
317 |
$6K |
| 99188 |
|
534 |
520 |
$6K |
| 96161 |
|
1,809 |
1,651 |
$6K |
| 90685 |
|
286 |
262 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
638 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,574 |
1,537 |
$4K |
| 90707 |
|
204 |
195 |
$4K |
| 90716 |
|
202 |
193 |
$4K |
| 90697 |
|
137 |
132 |
$2K |
| 99173 |
|
455 |
442 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
368 |
$2K |
| 90656 |
|
75 |
75 |
$1K |
| 90651 |
|
73 |
71 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
24 |
$1K |
| 90734 |
|
43 |
42 |
$800.59 |
| 90700 |
|
41 |
38 |
$725.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
51 |
$288.82 |
| 90620 |
|
15 |
15 |
$283.34 |
| 90696 |
|
14 |
13 |
$271.25 |
| 90715 |
|
13 |
13 |
$242.71 |
| 99174 |
|
806 |
784 |
$109.90 |
| 36416 |
|
115 |
99 |
$62.30 |
| 85018 |
|
29 |
27 |
$46.08 |
| 36415 |
Collection of venous blood by venipuncture |
180 |
160 |
$45.00 |
| 3008F |
|
452 |
448 |
$0.00 |