| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$3K |
| 92551 |
|
165 |
164 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$868.48 |
| 90658 |
|
83 |
82 |
$715.88 |
| 85018 |
|
224 |
224 |
$372.90 |
| 86580 |
|
118 |
103 |
$219.78 |
| 90620 |
|
53 |
44 |
$144.00 |
| 90649 |
|
13 |
13 |
$108.00 |
| 81002 |
|
143 |
143 |
$1.07 |
| 92081 |
|
15 |
15 |
$0.00 |
| 3078F |
|
150 |
129 |
$0.00 |
| 1160F |
|
46 |
43 |
$0.00 |
| 92557 |
|
18 |
18 |
$0.00 |
| 99173 |
|
17 |
17 |
$0.00 |
| 1159F |
|
47 |
44 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
406 |
$0.00 |
| 81005 |
|
34 |
34 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382 |
339 |
$0.00 |
| 3008F |
|
228 |
199 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$0.00 |
| 3074F |
|
112 |
97 |
$0.00 |