| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
410 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
673 |
448 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
146 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
95 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
62 |
$1K |
| 99000 |
|
14 |
14 |
$328.44 |
| 90734 |
|
37 |
26 |
$236.80 |
| 90651 |
|
15 |
12 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
13 |
$16.40 |
| 3074F |
|
365 |
180 |
$0.00 |
| 3008F |
|
935 |
481 |
$0.00 |