| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 92551 |
|
101 |
101 |
$980.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$547.56 |
| 82465 |
|
63 |
63 |
$242.55 |
| 85018 |
|
110 |
110 |
$225.50 |
| 82947 |
|
62 |
62 |
$202.74 |
| 81000 |
|
62 |
62 |
$158.10 |
| 86580 |
|
42 |
42 |
$139.86 |
| 83655 |
|
13 |
13 |
$136.76 |
| 90670 |
|
13 |
13 |
$117.00 |
| 81002 |
|
12 |
12 |
$20.09 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
103 |
$0.00 |
| 90461 |
|
65 |
65 |
$0.00 |
| 92081 |
|
41 |
41 |
$0.00 |