| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
797 |
734 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
237 |
$14K |
| 90670 |
|
52 |
52 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
104 |
90 |
$8K |
| 90680 |
|
44 |
44 |
$3K |
| 90723 |
|
31 |
31 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
106 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
86 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
127 |
$1K |
| 90647 |
|
32 |
32 |
$648.21 |
| 36415 |
Collection of venous blood by venipuncture |
287 |
265 |
$471.56 |
| 90474 |
|
44 |
44 |
$406.14 |