| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
148 |
148 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
457 |
450 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$484.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$366.28 |