| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,858 |
1,626 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,669 |
1,493 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
349 |
156 |
$12K |
| 0502F |
|
227 |
205 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
78 |
70 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 0124A |
|
14 |
12 |
$563.40 |
| 90670 |
|
24 |
12 |
$371.99 |
| 90686 |
|
17 |
12 |
$347.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$225.12 |
| 90647 |
|
12 |
12 |
$150.72 |
| 85027 |
|
14 |
14 |
$80.36 |
| 87210 |
|
13 |
12 |
$61.10 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
66 |
$4.10 |