| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
409 |
$6K |
| 99460 |
|
45 |
45 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
251 |
251 |
$989.86 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$607.24 |
| 92551 |
|
234 |
234 |
$571.03 |
| 3008F |
|
223 |
222 |
$400.00 |
| 99173 |
|
233 |
233 |
$346.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$254.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$230.90 |