| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
160 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
41 |
37 |
$6.30 |
| 99000 |
|
102 |
94 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
79 |
72 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |
| 36416 |
|
44 |
40 |
$0.00 |