| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
451 |
346 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
42 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
62 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 81002 |
|
66 |
62 |
$0.00 |
| 99173 |
|
17 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
106 |
104 |
$0.00 |
| 99000 |
|
130 |
119 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
35 |
$0.00 |