| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
139 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
109 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
69 |
$2K |
| 99215 |
Prolong outpt/office vis |
35 |
27 |
$1K |
| 99401 |
|
26 |
24 |
$533.72 |
| 94010 |
|
17 |
12 |
$259.53 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
28 |
$51.75 |
| A4930 |
Gloves, sterile, per pair |
173 |
138 |
$28.42 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
46 |
38 |
$0.00 |