| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,249 |
1,006 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
240 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
42 |
$840.08 |
| 90688 |
|
50 |
33 |
$486.00 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
110 |
$289.39 |