| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,442 |
2,180 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
206 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
75 |
$3K |
| 90686 |
|
54 |
51 |
$789.75 |
| 0012A |
|
14 |
12 |
$320.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
24 |
$305.58 |
| 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) |
14 |
13 |
$135.30 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$19.31 |
| 91301 |
|
33 |
28 |
$0.00 |