| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,813 |
1,576 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
141 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$436.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
105 |
$339.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$107.10 |
| 36415 |
Collection of venous blood by venipuncture |
444 |
437 |
$88.74 |
| 1111F |
|
17 |
15 |
$75.00 |
| 4013F |
|
18 |
15 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$0.00 |
| 4086F |
|
16 |
14 |
$0.00 |
| 99000 |
|
29 |
28 |
$0.00 |
| 81000 |
|
30 |
30 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |