| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,485 |
4,059 |
$423K |
| 0502F |
|
3,158 |
1,461 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,181 |
1,778 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,502 |
1,313 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
695 |
601 |
$52K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
266 |
222 |
$9K |
| 90670 |
|
466 |
399 |
$4K |
| 90647 |
|
487 |
415 |
$4K |
| 81003 |
|
1,804 |
731 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
223 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
35 |
$3K |
| 81002 |
|
1,234 |
806 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
69 |
$2K |
| 90723 |
|
211 |
181 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
80 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$1K |
| 0503F |
|
16 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
492 |
382 |
$1K |
| 90680 |
|
89 |
79 |
$950.00 |
| 90707 |
|
16 |
13 |
$96.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
19 |
$0.00 |