| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
330 |
314 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
171 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
76 |
$5K |
| 92551 |
|
112 |
112 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
73 |
$1K |
| 90461 |
|
28 |
28 |
$732.89 |
| 96127 |
|
58 |
58 |
$99.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
59 |
59 |
$12.00 |
| 90656 |
|
92 |
92 |
$0.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
117 |
117 |
$0.00 |
| 3008F |
|
125 |
125 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
116 |
$0.00 |
| 99173 |
|
111 |
111 |
$0.00 |
| 3725F |
|
58 |
58 |
$0.00 |