| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
393 |
$19K |
| 99199 |
Unlisted special service, procedure or report |
1,700 |
1,690 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
32 |
27 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
65 |
$696.43 |
| 93000 |
|
25 |
14 |
$121.16 |
| 99407 |
|
30 |
13 |
$93.08 |
| 36415 |
Collection of venous blood by venipuncture |
106 |
63 |
$73.61 |