| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
623 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
300 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
70 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
14 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
100 |
95 |
$19.56 |
| 85018 |
|
77 |
77 |
$11.22 |
| 90670 |
|
64 |
64 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$0.00 |
| 97802 |
|
40 |
40 |
$0.00 |