| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
24 |
$0.00 |
| 99000 |
|
84 |
64 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
66 |
$0.00 |
| 36416 |
|
44 |
37 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
121 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
66 |
$0.00 |
| 90651 |
|
16 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$0.00 |