| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
597 |
$48K |
| 99199 |
Unlisted special service, procedure or report |
7,125 |
6,266 |
$21K |
| 99215 |
Prolong outpt/office vis |
72 |
58 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
86 |
$5K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
67 |
$582.44 |
| 99401 |
|
80 |
62 |
$491.05 |
| 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) |
318 |
263 |
$435.60 |
| 96127 |
|
231 |
112 |
$132.23 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$27.00 |
| 99000 |
|
15 |
13 |
$0.00 |