| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
846 |
704 |
$78K |
| 99402 |
|
140 |
137 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
191 |
$4K |
| 92552 |
|
54 |
53 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 96127 |
|
114 |
114 |
$533.28 |
| 99401 |
|
13 |
13 |
$402.64 |
| 99051 |
|
45 |
41 |
$292.95 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
78 |
$238.32 |
| 99173 |
|
41 |
41 |
$101.45 |
| S9470 |
Nutritional counseling, dietitian visit |
41 |
41 |
$0.00 |
| 94760 |
|
152 |
150 |
$0.00 |
| 3008F |
|
58 |
57 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
50 |
49 |
$0.00 |