| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,554 |
16,504 |
$1.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
886 |
850 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
511 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
568 |
551 |
$43K |
| 92551 |
|
1,952 |
1,923 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
152 |
$12K |
| 90658 |
|
534 |
524 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,959 |
1,896 |
$5K |
| 99173 |
|
1,938 |
1,909 |
$5K |
| 99000 |
|
1,829 |
1,770 |
$5K |
| 0012A |
|
82 |
78 |
$3K |
| 90651 |
|
61 |
60 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 90734 |
|
84 |
84 |
$3K |
| 0011A |
|
84 |
84 |
$2K |
| 96127 |
|
268 |
258 |
$1K |
| 0013A |
|
26 |
25 |
$1K |
| 90619 |
|
15 |
15 |
$947.58 |
| 90670 |
|
38 |
37 |
$852.71 |
| 90686 |
|
78 |
77 |
$795.10 |
| 90716 |
|
12 |
12 |
$243.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
55 |
$228.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$216.86 |
| 99001 |
|
19 |
19 |
$0.00 |