| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
772 |
638 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
352 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
43 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 90619 |
|
12 |
12 |
$200.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$126.28 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
30 |
$1.64 |
| 3008F |
|
577 |
537 |
$0.00 |
| 3074F |
|
359 |
338 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |