| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
271 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
274 |
247 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
318 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
143 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
141 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
144 |
138 |
$10K |
| 90686 |
|
367 |
345 |
$4K |
| 90656 |
|
37 |
35 |
$759.75 |
| 90670 |
|
108 |
106 |
$684.80 |
| 90698 |
|
52 |
50 |
$326.40 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$213.12 |
| 90685 |
|
25 |
25 |
$181.20 |
| 90633 |
|
14 |
14 |
$153.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
24 |
$137.76 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |