| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,549 |
2,997 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
109 |
$8K |
| 81025 |
|
1,153 |
1,038 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
83 |
$6K |
| 92551 |
|
603 |
589 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
52 |
$4K |
| 81002 |
|
1,030 |
926 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
255 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
67 |
$1K |
| 99173 |
|
612 |
595 |
$1K |
| 96160 |
|
61 |
59 |
$64.87 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$29.16 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |