| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,291 |
6,006 |
$810K |
| 99215 |
Prolong outpt/office vis |
3,851 |
3,188 |
$616K |
| 96112 |
|
3,238 |
2,665 |
$360K |
| 99417 |
Prolong home eval add 15m |
1,650 |
1,315 |
$338K |
| 99199 |
Unlisted special service, procedure or report |
52,871 |
27,626 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,467 |
2,944 |
$237K |
| 99354 |
|
2,690 |
1,735 |
$198K |
| 92587 |
|
2,672 |
2,223 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
630 |
571 |
$55K |
| 99050 |
|
1,663 |
1,450 |
$44K |
| 92534 |
|
2,017 |
1,397 |
$36K |
| 99205 |
Prolong outpt/office vis |
149 |
111 |
$29K |
| 99070 |
|
2,851 |
2,284 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
295 |
270 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
223 |
$24K |
| 36410 |
|
1,156 |
942 |
$15K |
| 96111 |
|
153 |
141 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
215 |
$10K |
| 99355 |
|
121 |
101 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
118 |
$4K |
| 92568 |
|
164 |
153 |
$2K |
| 99401 |
|
53 |
47 |
$2K |
| 92552 |
|
68 |
68 |
$986.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
89 |
$755.87 |
| 99177 |
|
479 |
445 |
$420.71 |
| 99058 |
|
12 |
12 |
$218.40 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
72 |
$199.34 |