| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,529 |
1,391 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
197 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
104 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
330 |
325 |
$949.83 |
| 90651 |
|
32 |
30 |
$744.96 |
| 90649 |
|
21 |
21 |
$465.60 |
| 90700 |
|
12 |
12 |
$279.36 |
| 90734 |
|
12 |
12 |
$279.36 |
| 90713 |
|
12 |
12 |
$279.36 |