| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,431 |
3,953 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
839 |
$71K |
| 96127 |
|
1,253 |
1,205 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
342 |
312 |
$8K |
| H0049 |
Alcohol and/or drug screening |
1,069 |
642 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
539 |
519 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,988 |
1,783 |
$5K |
| 99000 |
|
2,417 |
2,164 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| D0190 |
|
30 |
30 |
$483.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$408.57 |
| 90686 |
|
34 |
33 |
$257.86 |
| 90688 |
|
41 |
41 |
$242.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$233.52 |
| 81002 |
|
43 |
42 |
$130.59 |
| 90658 |
|
13 |
13 |
$0.00 |