| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,298 |
4,515 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,856 |
2,410 |
$161K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
544 |
483 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
30 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,029 |
910 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$967.78 |
| 96127 |
|
190 |
172 |
$807.18 |
| 90688 |
|
23 |
19 |
$209.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
99 |
$193.75 |
| 90633 |
|
15 |
12 |
$156.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
14 |
$61.44 |
| 90461 |
|
22 |
20 |
$29.64 |
| 99000 |
|
14 |
12 |
$18.40 |
| M1069 |
Patient screened for future fall risk |
58 |
50 |
$0.00 |