| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
66 |
$974.50 |
| 92551 |
|
60 |
60 |
$250.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
191 |
$0.00 |
| 99173 |
|
72 |
72 |
$0.00 |
| 96160 |
|
29 |
29 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 97802 |
|
376 |
347 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
26 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
128 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
30 |
30 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |