| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,293 |
1,124 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
186 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
162 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
166 |
143 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
41 |
$4K |
| 99050 |
|
137 |
132 |
$1K |
| 0002A |
|
34 |
33 |
$1K |
| 0001A |
|
33 |
32 |
$1K |
| 99173 |
|
305 |
279 |
$659.88 |
| 96127 |
|
142 |
130 |
$595.81 |
| 0071A |
|
13 |
13 |
$521.14 |
| 90734 |
|
17 |
17 |
$395.76 |
| 90651 |
|
13 |
13 |
$302.64 |
| 99051 |
|
29 |
28 |
$294.26 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
110 |
$262.49 |
| 90688 |
|
12 |
12 |
$239.76 |
| 3725F |
|
30 |
29 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
205 |
160 |
$0.00 |