| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
531 |
452 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
101 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
175 |
167 |
$6K |
| 90461 |
|
75 |
72 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
23 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$994.37 |
| 92551 |
|
51 |
51 |
$491.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$403.80 |
| 94664 |
|
25 |
24 |
$330.58 |
| 99173 |
|
44 |
44 |
$5.67 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
56 |
$3.54 |
| 90677 |
|
12 |
12 |
$0.05 |