| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
192 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
197 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
442 |
434 |
$8K |
| 90461 |
|
206 |
201 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
171 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
681 |
675 |
$2K |
| 99173 |
|
426 |
426 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 92551 |
|
32 |
32 |
$442.47 |
| 99000 |
|
35 |
33 |
$31.64 |