| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,170 |
2,897 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,219 |
1,155 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
399 |
383 |
$3K |
| 0001A |
|
30 |
29 |
$880.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
131 |
129 |
$601.35 |
| 36415 |
Collection of venous blood by venipuncture |
2,294 |
2,269 |
$555.86 |
| 92551 |
|
210 |
210 |
$474.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
68 |
$284.19 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$169.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$34.68 |
| 90686 |
|
185 |
185 |
$0.00 |
| 90654 |
|
109 |
109 |
$0.00 |
| 90653 |
|
44 |
44 |
$0.00 |