| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,253 |
1,953 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,568 |
2,172 |
$169K |
| 99215 |
Prolong outpt/office vis |
506 |
454 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
440 |
382 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
272 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
229 |
206 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
82 |
$12K |
| 96127 |
|
2,624 |
2,334 |
$10K |
| 92552 |
|
384 |
365 |
$9K |
| 96160 |
|
3,219 |
2,721 |
$8K |
| 94664 |
|
491 |
442 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
496 |
438 |
$5K |
| 90686 |
|
228 |
198 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,342 |
1,182 |
$2K |
| 90688 |
|
91 |
87 |
$2K |
| 99408 |
|
232 |
221 |
$1K |
| 90651 |
|
66 |
56 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,016 |
869 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 81002 |
|
430 |
394 |
$690.88 |
| 90461 |
|
499 |
421 |
$539.80 |
| 90670 |
|
37 |
26 |
$512.16 |
| 81003 |
|
385 |
336 |
$464.19 |
| 96161 |
|
183 |
169 |
$462.07 |
| 90734 |
|
13 |
13 |
$302.64 |
| 99173 |
|
137 |
131 |
$277.16 |
| 83655 |
|
31 |
28 |
$264.36 |
| 90698 |
|
12 |
12 |
$256.08 |
| 90620 |
|
20 |
13 |
$162.96 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
170 |
146 |
$12.00 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
233 |
202 |
$0.00 |