| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,725 |
3,953 |
$339K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,578 |
$97K |
| 99401 |
|
964 |
408 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
597 |
536 |
$14K |
| 99423 |
|
246 |
173 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
25 |
$2K |
| 92551 |
|
27 |
25 |
$410.40 |
| 99490 |
Ccm add 20min |
40 |
39 |
$313.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$241.05 |
| 36415 |
Collection of venous blood by venipuncture |
307 |
281 |
$225.50 |
| 99173 |
|
30 |
28 |
$216.05 |