| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,958 |
1,566 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$810.04 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$539.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
101 |
$170.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$155.00 |
| 81025 |
|
32 |
28 |
$79.20 |
| 97803 |
|
1,004 |
779 |
$46.97 |
| 3074F |
|
1,480 |
1,247 |
$25.00 |
| 85018 |
|
19 |
19 |
$7.83 |
| 1036F |
|
1,339 |
976 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,243 |
909 |
$0.00 |
| 1126F |
|
1,725 |
1,404 |
$0.00 |
| 3079F |
|
251 |
213 |
$0.00 |
| 3075F |
|
33 |
28 |
$0.00 |
| 1125F |
|
181 |
160 |
$0.00 |
| 3008F |
|
2,375 |
1,786 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
57 |
$0.00 |
| 2001F |
|
60 |
55 |
$0.00 |
| 1035F |
|
17 |
13 |
$0.00 |
| 2000F |
|
38 |
36 |
$0.00 |
| 3078F |
|
1,415 |
1,142 |
$0.00 |
| 1160F |
|
1,550 |
1,157 |
$0.00 |
| 3725F |
|
1,675 |
1,201 |
$0.00 |
| 1159F |
|
1,561 |
1,167 |
$0.00 |
| 3288F |
|
885 |
691 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |