| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
82 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
42 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$1K |
| 3008F |
|
98 |
98 |
$950.00 |
| 99442 |
|
41 |
38 |
$739.05 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$715.09 |
| 90686 |
|
50 |
50 |
$222.39 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$0.00 |