| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,054 |
2,785 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
206 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
177 |
170 |
$7K |
| 99173 |
|
90 |
89 |
$844.41 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
340 |
$736.62 |
| 92551 |
|
90 |
89 |
$647.11 |
| 99408 |
|
12 |
12 |
$297.60 |
| 96127 |
|
24 |
24 |
$105.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$95.56 |
| 81001 |
|
26 |
25 |
$74.77 |