| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,763 |
1,518 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,163 |
1,020 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
723 |
695 |
$10K |
| 92553 |
|
277 |
275 |
$4K |
| 94010 |
|
105 |
104 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
666 |
653 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$787.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
43 |
$727.91 |
| 90686 |
|
99 |
99 |
$325.88 |
| 86580 |
|
27 |
27 |
$123.10 |
| 81000 |
|
12 |
12 |
$15.97 |