| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,006 |
908 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,268 |
1,258 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
243 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
155 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
78 |
$6K |
| 92551 |
|
500 |
500 |
$4K |
| 99173 |
|
331 |
330 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
199 |
199 |
$2K |
| 0071A |
|
17 |
17 |
$705.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$321.11 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$99.88 |
| 99072 |
|
927 |
843 |
$79.00 |
| 99070 |
|
16 |
14 |
$75.00 |
| 90686 |
|
278 |
277 |
$14.00 |
| 91307 |
|
23 |
20 |
$0.13 |
| 92558 |
|
12 |
12 |
$0.00 |