| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,736 |
2,461 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,567 |
3,050 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,217 |
1,026 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
999 |
776 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,035 |
868 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
947 |
778 |
$15K |
| 96127 |
|
1,023 |
805 |
$15K |
| 90651 |
|
391 |
330 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
298 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
75 |
$6K |
| 90734 |
|
206 |
165 |
$3K |
| 90670 |
|
238 |
180 |
$2K |
| 90710 |
|
98 |
48 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 90686 |
|
135 |
116 |
$974.75 |
| 90696 |
|
49 |
17 |
$760.69 |
| 90707 |
|
93 |
72 |
$644.64 |
| 90716 |
|
80 |
61 |
$615.70 |
| 90700 |
|
63 |
42 |
$439.28 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
66 |
$378.89 |
| 90658 |
|
25 |
15 |
$360.94 |
| 90633 |
|
49 |
38 |
$346.49 |
| 90672 |
|
53 |
44 |
$334.08 |
| 90715 |
|
36 |
27 |
$262.67 |
| 90713 |
|
17 |
13 |
$116.73 |
| 1033F |
|
2,160 |
1,677 |
$2.25 |
| 1160F |
|
231 |
175 |
$1.98 |
| 1159F |
|
231 |
175 |
$1.95 |
| 1003F |
|
317 |
206 |
$0.00 |
| 4004F |
|
15 |
12 |
$0.00 |
| 1220F |
|
53 |
35 |
$0.00 |
| 3351F |
|
96 |
68 |
$0.00 |
| 97802 |
|
107 |
90 |
$0.00 |