| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,235 |
1,996 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
817 |
778 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
488 |
476 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
213 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
187 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
129 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,431 |
2,123 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
652 |
641 |
$304.11 |
| 81000 |
|
576 |
564 |
$118.27 |
| 90461 |
|
113 |
97 |
$84.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
220 |
201 |
$36.84 |
| 90686 |
|
317 |
300 |
$28.61 |
| 97802 |
|
244 |
231 |
$10.00 |
| 81003 |
|
158 |
154 |
$9.20 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
85 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
58 |
58 |
$0.00 |
| 96127 |
|
32 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 96160 |
|
66 |
45 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |