| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$0.00 |
| 81002 |
|
53 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
166 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
54 |
46 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
22 |
$0.00 |
| 99000 |
|
86 |
66 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |