| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
859 |
800 |
$5K |
| 90656 |
|
132 |
131 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
380 |
377 |
$342.29 |
| 92552 |
|
57 |
57 |
$164.40 |
| 81000 |
|
184 |
182 |
$48.00 |
| 94760 |
|
605 |
581 |
$0.78 |
| 92522 |
|
66 |
66 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
163 |
$0.00 |
| 87081 |
|
153 |
147 |
$0.00 |
| 36410 |
|
224 |
223 |
$0.00 |
| 90461 |
|
39 |
38 |
$0.00 |
| 92081 |
|
36 |
36 |
$0.00 |
| 99173 |
|
46 |
46 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$0.00 |