| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
403 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$837.24 |
| 3008F |
|
807 |
686 |
$690.00 |
| 36415 |
Collection of venous blood by venipuncture |
558 |
467 |
$524.48 |
| 96127 |
|
140 |
113 |
$497.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$368.07 |
| 1159F |
|
183 |
158 |
$260.00 |
| 96160 |
|
12 |
12 |
$156.54 |
| 99072 |
|
383 |
290 |
$0.00 |
| 99499 |
|
62 |
37 |
$0.00 |
| 1003F |
|
50 |
42 |
$0.00 |
| 4013F |
|
16 |
14 |
$0.00 |