| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23 |
13 |
$34.34 |
| 99443 |
|
46 |
45 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
204 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
151 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
279 |
$0.00 |
| 90656 |
|
61 |
61 |
$0.00 |
| 99441 |
|
20 |
20 |
$0.00 |
| 99442 |
|
254 |
247 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
139 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
59 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
13 |
$0.00 |