| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
175 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
210 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
57 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
36 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
18 |
$2K |
| 90686 |
|
188 |
174 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
68 |
57 |
$588.39 |
| 90670 |
|
28 |
24 |
$259.28 |
| 96127 |
|
79 |
51 |
$234.13 |
| 99173 |
|
20 |
14 |
$149.00 |
| 90633 |
|
17 |
14 |
$139.20 |
| 36415 |
Collection of venous blood by venipuncture |
151 |
145 |
$1.41 |