| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,037 |
1,705 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
142 |
$7K |
| 90686 |
|
235 |
178 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$1K |
| 90656 |
|
25 |
16 |
$531.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
12 |
$103.32 |