| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,030 |
8,993 |
$582K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,419 |
3,087 |
$218K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,522 |
1,402 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,157 |
1,013 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
873 |
791 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
877 |
726 |
$70K |
| 90686 |
|
1,767 |
1,720 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
124 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
799 |
623 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
84 |
$6K |
| 86580 |
|
806 |
715 |
$4K |
| 90651 |
|
159 |
147 |
$3K |
| 90619 |
|
94 |
94 |
$2K |
| 85018 |
|
659 |
516 |
$2K |
| 90656 |
|
78 |
78 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 90670 |
|
39 |
39 |
$875.17 |
| 36415 |
Collection of venous blood by venipuncture |
325 |
291 |
$768.44 |
| 90621 |
|
45 |
45 |
$751.95 |
| 90715 |
|
44 |
44 |
$735.24 |
| 90734 |
|
51 |
44 |
$555.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$410.40 |
| 36416 |
|
121 |
97 |
$378.27 |
| 90648 |
|
15 |
15 |
$133.22 |
| 90707 |
|
14 |
14 |
$89.60 |
| 90633 |
|
14 |
14 |
$89.60 |
| 90685 |
|
12 |
12 |
$84.48 |
| 90716 |
|
12 |
12 |
$76.80 |
| 90700 |
|
12 |
12 |
$70.40 |