| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,599 |
1,288 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
113 |
$3K |
| 99173 |
|
50 |
50 |
$900.00 |
| 92552 |
|
24 |
24 |
$798.79 |
| 36415 |
Collection of venous blood by venipuncture |
264 |
259 |
$467.40 |
| 96127 |
|
157 |
155 |
$344.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$274.40 |
| 96160 |
|
84 |
82 |
$127.18 |
| 81002 |
|
137 |
134 |
$58.02 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 96161 |
|
16 |
15 |
$0.00 |
| 3008F |
|
66 |
66 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
43 |
$0.00 |
| 99072 |
|
23 |
15 |
$0.00 |
| 90756 |
|
16 |
16 |
$0.00 |
| 99442 |
|
30 |
30 |
$0.00 |