| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,443 |
1,338 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
52 |
$3K |
| 96127 |
|
1,725 |
1,459 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
90 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
26 |
$813.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$551.29 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$292.24 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
57 |
$0.00 |