| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
983 |
885 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
293 |
$14K |
| 99384 |
|
104 |
99 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
110 |
$4K |
| 99173 |
|
491 |
449 |
$3K |
| 99383 |
|
35 |
31 |
$2K |
| 92551 |
|
206 |
183 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 90734 |
|
16 |
14 |
$102.40 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |