| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,116 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
950 |
944 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
98 |
$1K |
| 90688 |
|
59 |
59 |
$37.54 |
| 90686 |
|
35 |
35 |
$20.03 |
| 36415 |
Collection of venous blood by venipuncture |
774 |
768 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
106 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |
| G9230 |
Chlamydia, gonorrhea, and syphilis not screened, reason not given |
12 |
12 |
$0.00 |
| 90461 |
|
65 |
65 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |