| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
881 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
952 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
18 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$1K |
| 90686 |
|
36 |
30 |
$383.06 |
| 81003 |
|
92 |
72 |
$189.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$166.86 |
| 85018 |
|
38 |
26 |
$85.84 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$23.40 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
51 |
$0.00 |