| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
715 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
474 |
436 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
37 |
$3K |
| 92551 |
|
203 |
201 |
$2K |
| 97802 |
|
203 |
202 |
$1K |
| 90658 |
|
199 |
194 |
$298.56 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
164 |
$187.04 |
| 90686 |
|
20 |
20 |
$80.22 |
| 99173 |
|
34 |
34 |
$34.90 |
| 87490 |
|
56 |
55 |
$9.00 |
| 90672 |
|
19 |
19 |
$0.00 |