| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
674 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
344 |
291 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
324 |
$18K |
| 99215 |
Prolong outpt/office vis |
196 |
173 |
$17K |
| 99383 |
|
39 |
39 |
$4K |
| 99385 |
|
29 |
29 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
368 |
360 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
92 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
56 |
$1K |
| 96127 |
|
92 |
92 |
$1K |
| 99382 |
|
13 |
13 |
$565.90 |
| 99177 |
|
69 |
69 |
$257.96 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$61.67 |