| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,232 |
1,157 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
207 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
148 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,726 |
1,714 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
95 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,644 |
1,634 |
$4K |
| 99173 |
|
987 |
986 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
224 |
221 |
$3K |
| 81000 |
|
378 |
372 |
$1K |
| 83655 |
|
52 |
52 |
$514.57 |
| 90461 |
|
83 |
83 |
$512.29 |
| 90686 |
|
76 |
76 |
$19.03 |
| 99000 |
|
83 |
83 |
$0.00 |