| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,063 |
4,363 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,401 |
2,109 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
153 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
118 |
$11K |
| 90686 |
|
469 |
410 |
$7K |
| 85018 |
|
820 |
674 |
$2K |
| 81003 |
|
663 |
552 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81002 |
|
103 |
73 |
$267.80 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
38 |
$259.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$88.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
14 |
$68.88 |
| 36416 |
|
46 |
40 |
$24.60 |