| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,058 |
2,056 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
971 |
971 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,376 |
2,136 |
$27K |
| 99381 |
|
127 |
127 |
$15K |
| 92551 |
|
1,817 |
1,816 |
$11K |
| 86580 |
|
1,695 |
1,695 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
178 |
178 |
$4K |
| 85999 |
|
871 |
870 |
$3K |
| 81000 |
|
1,645 |
1,645 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
125 |
125 |
$2K |
| G9920 |
Screening performed and negative |
1,182 |
1,181 |
$2K |
| 99173 |
|
955 |
955 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
187 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
203 |
$2K |
| 90658 |
|
160 |
160 |
$1K |
| 90707 |
|
154 |
154 |
$1K |
| 90716 |
|
153 |
153 |
$1K |
| 90633 |
|
141 |
141 |
$1K |
| 90700 |
|
177 |
177 |
$1K |
| 90713 |
|
136 |
136 |
$972.00 |
| 85018 |
|
1,434 |
1,430 |
$681.41 |
| 90670 |
|
71 |
71 |
$630.00 |
| 90656 |
|
216 |
215 |
$625.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
52 |
$493.75 |
| 87110 |
|
81 |
81 |
$377.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
111 |
$295.82 |
| 90648 |
|
38 |
38 |
$225.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
141 |
$122.18 |
| 90715 |
|
12 |
12 |
$108.00 |
| 96127 |
|
166 |
166 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |