| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,770 |
6,171 |
$592K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,604 |
1,454 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
358 |
348 |
$28K |
| 92552 |
|
1,016 |
999 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
220 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
40 |
$3K |
| 92081 |
|
67 |
67 |
$2K |
| 99072 |
|
4,241 |
3,481 |
$1K |
| 99173 |
|
892 |
876 |
$955.31 |
| 36415 |
Collection of venous blood by venipuncture |
1,004 |
980 |
$679.84 |
| 90686 |
|
253 |
253 |
$256.77 |
| 90461 |
|
13 |
12 |
$220.00 |