| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,111 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,392 |
1,259 |
$106K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
98 |
$9K |
| 93000 |
|
386 |
347 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$1K |
| 94760 |
|
96 |
87 |
$418.00 |
| 80053 |
Comprehensive metabolic panel |
33 |
24 |
$331.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
25 |
$195.16 |