| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
191 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
179 |
178 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
74 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$829.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
120 |
$741.06 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$190.43 |
| 92551 |
|
13 |
13 |
$118.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$38.82 |
| 99173 |
|
14 |
14 |
$37.78 |
| 85018 |
|
16 |
16 |
$17.63 |