| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,157 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
289 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
97 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
50 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$1K |
| 92551 |
|
128 |
103 |
$917.33 |
| 36415 |
Collection of venous blood by venipuncture |
601 |
452 |
$824.82 |
| 99173 |
|
112 |
90 |
$645.41 |
| 0011A |
|
27 |
18 |
$560.00 |
| 0012A |
|
22 |
14 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
38 |
$474.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
15 |
$459.56 |
| 90686 |
|
149 |
129 |
$384.31 |
| 90461 |
|
176 |
56 |
$146.38 |
| 81002 |
|
33 |
25 |
$54.36 |
| 81003 |
|
18 |
15 |
$28.01 |
| 90670 |
|
15 |
13 |
$0.00 |