| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,216 |
30,924 |
$3.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,428 |
21,129 |
$1.91M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,852 |
2,845 |
$277K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,910 |
1,892 |
$229K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,597 |
2,592 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,672 |
1,670 |
$134K |
| 96156 |
|
2,410 |
2,408 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
668 |
667 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
351 |
351 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
7,350 |
7,177 |
$24K |
| 90756 |
|
504 |
502 |
$12K |
| 90686 |
|
290 |
290 |
$6K |
| 90670 |
|
15 |
15 |
$3K |
| 96127 |
|
645 |
638 |
$2K |
| 99442 |
|
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
220 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 90734 |
|
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
52 |
$485.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
13 |
$132.30 |
| V5008 |
Hearing screening |
27 |
26 |
$121.44 |
| 3078F |
|
2,105 |
2,049 |
$4.42 |
| 3074F |
|
2,109 |
2,053 |
$4.42 |
| 99173 |
|
27 |
26 |
$0.00 |