| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,359 |
5,100 |
$525K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
896 |
613 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
62 |
$10K |
| 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) |
394 |
373 |
$7K |
| 99215 |
Prolong outpt/office vis |
41 |
38 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
39 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
161 |
$3K |
| 90686 |
|
183 |
182 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
52 |
$1K |
| 90656 |
|
15 |
15 |
$299.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
38 |
$260.03 |
| 90688 |
|
16 |
16 |
$235.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
15 |
$105.14 |