| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
667 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
473 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
66 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
115 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
72 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
144 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 96160 |
|
224 |
219 |
$780.49 |
| 96127 |
|
74 |
70 |
$352.98 |
| 36415 |
Collection of venous blood by venipuncture |
161 |
142 |
$309.96 |
| 90677 |
|
31 |
31 |
$0.00 |