| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,896 |
1,542 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,094 |
1,729 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
51 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
37 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
219 |
205 |
$3K |
| 96127 |
|
441 |
409 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
186 |
$2K |
| 90461 |
|
17 |
17 |
$185.50 |
| 96160 |
|
54 |
52 |
$156.71 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
13 |
$39.00 |
| 90713 |
|
14 |
14 |
$0.00 |