| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
106 |
$885.84 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
137 |
102 |
$683.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
171 |
$451.42 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
96 |
$8.40 |
| 99000 |
|
154 |
117 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
41 |
$0.00 |
| 36416 |
|
17 |
14 |
$0.00 |
| 90670 |
|
17 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$0.00 |