| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,424 |
4,300 |
$505K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
1,192 |
$181K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
537 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
245 |
236 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
155 |
144 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
99 |
$12K |
| 99385 |
|
69 |
69 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
34 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,438 |
1,370 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
26 |
$3K |
| 99384 |
|
18 |
18 |
$3K |
| 90686 |
|
115 |
113 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90651 |
|
38 |
37 |
$884.64 |
| 90713 |
|
33 |
29 |
$721.68 |
| 90700 |
|
31 |
28 |
$651.84 |
| 90734 |
|
24 |
24 |
$558.72 |
| 2015F |
|
71 |
65 |
$400.00 |
| 3008F |
|
46 |
45 |
$0.00 |