| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,398 |
1,086 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
621 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
83 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
24 |
$3K |
| 90688 |
|
112 |
89 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
43 |
$824.45 |
| 81025 |
|
103 |
92 |
$324.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
89 |
$71.44 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
163 |
$56.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
55 |
$48.54 |
| 90461 |
|
18 |
12 |
$24.45 |