| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,866 |
1,403 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,848 |
1,446 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,088 |
747 |
$75K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
467 |
278 |
$22K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
75 |
52 |
$9K |
| 99417 |
Prolong home eval add 15m |
233 |
140 |
$4K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 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) |
159 |
129 |
$2K |
| 96127 |
|
504 |
199 |
$2K |
| 96160 |
|
142 |
117 |
$642.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$233.56 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$42.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$26.28 |