| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
468 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
13 |
$476.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
15 |
$182.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
20 |
$146.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
14 |
$44.10 |
| 96160 |
|
35 |
17 |
$27.90 |
| 90677 |
|
22 |
13 |
$0.00 |
| 36416 |
|
27 |
14 |
$0.00 |
| 99177 |
|
27 |
13 |
$0.00 |