| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,562 |
3,742 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,962 |
1,821 |
$234K |
| 99443 |
|
1,954 |
1,547 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,597 |
2,452 |
$74K |
| 99401 |
|
2,568 |
2,420 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
484 |
482 |
$51K |
| 99442 |
|
281 |
249 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
200 |
$18K |
| 92551 |
|
1,140 |
1,128 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
118 |
$12K |
| 99051 |
|
1,817 |
1,677 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
378 |
378 |
$4K |
| 99173 |
|
919 |
913 |
$3K |
| 94664 |
|
50 |
46 |
$969.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
24 |
$495.03 |
| 99072 |
|
16 |
16 |
$125.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
67 |
$70.86 |
| 90686 |
|
28 |
28 |
$14.33 |