| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,326 |
1,210 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
891 |
817 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
110 |
$10K |
| 99215 |
Prolong outpt/office vis |
123 |
113 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
65 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
55 |
$711.14 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
38 |
$100.71 |