| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,936 |
7,123 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,446 |
2,061 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
298 |
183 |
$18K |
| 90686 |
|
195 |
195 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
211 |
201 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$1K |
| 90656 |
|
14 |
14 |
$265.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$204.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$161.60 |
| 96127 |
|
18 |
15 |
$75.40 |
| 3078F |
|
3,125 |
2,787 |
$0.00 |
| 3077F |
|
17 |
12 |
$0.00 |
| 3074F |
|
3,620 |
3,222 |
$0.00 |
| 3008F |
|
4,600 |
4,104 |
$0.00 |
| 1036F |
|
4,179 |
3,660 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
76 |
$0.00 |
| 3079F |
|
33 |
28 |
$0.00 |