| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,277 |
1,081 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
189 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
279 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
394 |
374 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21 |
21 |
$2K |
| 94664 |
|
117 |
113 |
$2K |
| 90461 |
|
137 |
136 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 92551 |
|
157 |
155 |
$999.12 |
| 99173 |
|
199 |
192 |
$89.54 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
203 |
$23.35 |
| 90671 |
|
27 |
27 |
$0.00 |