| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
316 |
316 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
430 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
1,688 |
1,444 |
$6K |
| 90651 |
|
17 |
17 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
47 |
$3K |
| 99459 |
|
90 |
90 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
68 |
$640.55 |
| 0502F |
|
15 |
12 |
$0.00 |