| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99382 |
|
16 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
248 |
$906.84 |
| 99383 |
|
15 |
14 |
$455.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
30 |
$0.00 |
| 90461 |
|
16 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$0.00 |
| 36416 |
|
45 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
67 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
68 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 99000 |
|
106 |
98 |
$0.00 |