| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,543 |
1,319 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,491 |
1,266 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$307.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$133.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$96.50 |
| 90686 |
|
21 |
21 |
$75.09 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$8.82 |
| 99000 |
|
23 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$0.00 |