| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
547 |
522 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
360 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
50 |
$5K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
128 |
$1K |
| 96127 |
|
126 |
126 |
$485.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$387.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$200.85 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
17 |
$117.00 |