| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
921 |
556 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
356 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
56 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
45 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
40 |
$737.76 |
| 80305 |
|
78 |
51 |
$597.17 |
| 99000 |
|
18 |
18 |
$422.28 |
| 81002 |
|
142 |
74 |
$369.20 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
74 |
$11.20 |
| 3008F |
|
988 |
531 |
$0.00 |
| 3074F |
|
45 |
23 |
$0.00 |