| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
732 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
706 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
101 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| 90686 |
|
40 |
31 |
$816.23 |
| 90656 |
|
21 |
16 |
$438.06 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
131 |
$3.00 |