| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
703 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
428 |
426 |
$28K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
128 |
128 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
44 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
300 |
295 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 80305 |
|
214 |
200 |
$749.47 |
| 99000 |
|
40 |
40 |
$0.00 |