| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
232 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
112 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
78 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
68 |
$7K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$6K |
| 96127 |
|
241 |
199 |
$895.05 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
184 |
$699.43 |
| 90686 |
|
33 |
29 |
$581.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
70 |
$460.99 |
| 99173 |
|
129 |
109 |
$277.35 |
| 3008F |
|
75 |
63 |
$132.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
80 |
$74.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
81 |
63 |
$39.52 |