| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,587 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
115 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$861.17 |
| 90686 |
|
36 |
28 |
$537.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$520.65 |
| 87210 |
|
71 |
41 |
$324.74 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$0.00 |