| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,129 |
2,779 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
349 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,422 |
1,374 |
$2K |
| 86328 |
|
53 |
24 |
$940.68 |
| 96160 |
|
121 |
115 |
$242.50 |
| 96127 |
|
21 |
12 |
$125.25 |
| H0049 |
Alcohol and/or drug screening |
47 |
43 |
$0.00 |