| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
163 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
144 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99490 |
Ccm add 20min |
228 |
228 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
132 |
50 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$951.36 |
| 90461 |
|
43 |
34 |
$397.90 |
| 92551 |
|
23 |
22 |
$196.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
15 |
$162.80 |
| 90670 |
|
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
30 |
30 |
$0.00 |
| 99173 |
|
20 |
20 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
71 |
71 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
168 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 99000 |
|
181 |
161 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
37 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |