| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
328 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
305 |
301 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
264 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
125 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
67 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
165 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
203 |
$3K |
| 92552 |
|
131 |
131 |
$2K |
| 90461 |
|
46 |
45 |
$771.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
43 |
$360.12 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
119 |
$195.64 |
| 3008F |
|
168 |
165 |
$0.00 |