| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
674 |
618 |
$27K |
| 99199 |
Unlisted special service, procedure or report |
5,664 |
5,614 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
612 |
424 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
84 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
176 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
254 |
157 |
$202.74 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
225 |
206 |
$29.42 |
| 3078F |
|
201 |
149 |
$0.00 |
| 3077F |
|
20 |
14 |
$0.00 |
| 3074F |
|
283 |
200 |
$0.00 |