| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,601 |
2,217 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
317 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
384 |
369 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
42 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
592 |
579 |
$416.65 |
| 96127 |
|
34 |
34 |
$107.59 |
| 90686 |
|
84 |
83 |
$82.66 |
| 99401 |
|
17 |
16 |
$20.70 |
| 90672 |
|
16 |
16 |
$0.00 |