| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,545 |
2,125 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
79 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
216 |
164 |
$2K |
| 90686 |
|
81 |
81 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
53 |
52 |
$85.42 |