| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,315 |
4,508 |
$659K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
694 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
30 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
24 |
$2K |
| W0037 |
|
604 |
604 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
57 |
51 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24 |
16 |
$1K |
| 90686 |
|
91 |
90 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90756 |
|
13 |
13 |
$257.66 |