| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,732 |
2,206 |
$40K |
| 90756 |
|
222 |
213 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$763.61 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$627.77 |
| 92567 |
|
48 |
46 |
$398.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$253.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$210.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$105.02 |
| 81025 |
|
12 |
12 |
$79.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
14 |
$49.66 |
| 99000 |
|
40 |
39 |
$33.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
47 |
$27.68 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
136 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
140 |
133 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
29 |
$0.00 |
| 99173 |
|
48 |
46 |
$0.00 |