| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,195 |
3,753 |
$317K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
431 |
415 |
$8K |
| 93000 |
|
568 |
557 |
$7K |
| 94010 |
|
325 |
322 |
$6K |
| 92557 |
|
144 |
143 |
$4K |
| 99402 |
|
59 |
58 |
$3K |
| 90686 |
|
288 |
283 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,069 |
1,027 |
$827.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$472.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$101.92 |
| 91307 |
|
17 |
17 |
$0.00 |