| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,591 |
1,389 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
174 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
529 |
520 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
49 |
$3K |
| 92551 |
|
263 |
262 |
$2K |
| 92552 |
|
71 |
70 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$882.92 |
| 36410 |
|
107 |
104 |
$398.62 |
| 90461 |
|
24 |
24 |
$318.23 |
| 99173 |
|
429 |
426 |
$169.46 |
| 36415 |
Collection of venous blood by venipuncture |
254 |
249 |
$128.78 |
| 81002 |
|
61 |
61 |
$52.23 |
| 90686 |
|
133 |
133 |
$41.22 |
| 94760 |
|
264 |
228 |
$8.18 |
| 94762 |
|
238 |
227 |
$0.00 |
| 99000 |
|
199 |
184 |
$0.00 |
| 3008F |
|
229 |
218 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$0.00 |