| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,320 |
2,159 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,373 |
2,257 |
$13K |
| 99335 |
|
30 |
28 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
44 |
$662.01 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
174 |
$446.81 |
| 99336 |
|
58 |
58 |
$385.69 |
| 90686 |
|
68 |
68 |
$38.06 |
| 90670 |
|
12 |
12 |
$17.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$12.11 |
| 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) |
105 |
102 |
$0.00 |