| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,296 |
2,610 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
183 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
126 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
95 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90686 |
|
91 |
91 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
438 |
414 |
$884.54 |
| 90734 |
|
13 |
12 |
$310.00 |
| 90715 |
|
13 |
12 |
$164.56 |
| 90658 |
|
46 |
14 |
$134.88 |
| 90649 |
|
13 |
13 |
$132.00 |
| 93000 |
|
12 |
12 |
$113.28 |