| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,246 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
107 |
95 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
394 |
372 |
$951.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$565.71 |
| 90688 |
|
14 |
14 |
$259.40 |
| 90461 |
|
13 |
13 |
$250.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
17 |
$140.08 |