| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,063 |
3,348 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,116 |
1,012 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,224 |
1,100 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
658 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
539 |
417 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
999 |
856 |
$16K |
| 95930 |
|
211 |
191 |
$11K |
| 96127 |
|
499 |
475 |
$7K |
| 90620 |
|
154 |
140 |
$6K |
| 96160 |
|
238 |
210 |
$3K |
| 90686 |
|
214 |
184 |
$2K |
| 90734 |
|
30 |
20 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
503 |
451 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$1K |
| 90649 |
|
25 |
24 |
$962.05 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
45 |
35 |
$596.52 |
| 90670 |
|
15 |
12 |
$301.11 |
| 90715 |
|
16 |
16 |
$199.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
69 |
$198.03 |
| 90461 |
|
73 |
67 |
$139.85 |
| 90647 |
|
18 |
15 |
$115.20 |
| 99072 |
|
530 |
494 |
$75.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$67.34 |
| 3008F |
|
267 |
245 |
$0.00 |