| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
420 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
223 |
$13K |
| 99215 |
Prolong outpt/office vis |
144 |
127 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
82 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
12 |
$1K |
| 81003 |
|
27 |
21 |
$61.04 |
| 85018 |
|
18 |
17 |
$41.76 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
13 |
$0.00 |