| Code | Description | Claims | Beneficiaries | Total Paid |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
177 |
$1K |
| 99000 |
|
117 |
94 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
113 |
86 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
44 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
50 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
70 |
$0.00 |
| 36416 |
|
49 |
34 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
21 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
15 |
$0.00 |