| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
315 |
$40K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
178 |
176 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
75 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
64 |
$731.64 |
| 92551 |
|
152 |
150 |
$637.94 |
| 99173 |
|
139 |
137 |
$635.06 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
82 |
$1.95 |
| 83655 |
|
12 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |