| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,039 |
1,935 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
692 |
672 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,144 |
1,138 |
$34K |
| 92551 |
|
644 |
641 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
29 |
29 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99401 |
|
53 |
53 |
$1K |
| 99173 |
|
310 |
308 |
$827.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$800.76 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$777.26 |
| 36415 |
Collection of venous blood by venipuncture |
587 |
579 |
$507.11 |
| 90686 |
|
220 |
219 |
$488.00 |
| 0031A |
|
12 |
12 |
$361.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$180.40 |
| 99072 |
|
399 |
385 |
$100.00 |
| 99000 |
|
295 |
287 |
$0.00 |