| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,697 |
5,695 |
$495K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
544 |
518 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
882 |
755 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
319 |
290 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
150 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
55 |
$4K |
| 90686 |
|
180 |
144 |
$3K |
| 90756 |
|
190 |
155 |
$3K |
| 0013A |
|
61 |
57 |
$2K |
| 90674 |
|
89 |
62 |
$2K |
| 90688 |
|
88 |
69 |
$2K |
| 0012A |
|
42 |
40 |
$2K |
| 0011A |
|
43 |
42 |
$1K |
| 0031A |
|
19 |
18 |
$786.91 |
| 0071A |
|
17 |
12 |
$716.38 |
| 0124A |
|
19 |
17 |
$664.80 |
| 99423 |
|
16 |
16 |
$649.81 |
| 0072A |
|
14 |
13 |
$589.96 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
61 |
$151.70 |