| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
515 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
447 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
170 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
142 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
50 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$3K |
| 90686 |
|
85 |
80 |
$846.90 |
| 90670 |
|
83 |
74 |
$703.44 |
| 90698 |
|
84 |
77 |
$611.28 |
| 90656 |
|
13 |
13 |
$252.60 |
| 92551 |
|
12 |
12 |
$182.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
29 |
$154.98 |
| 90633 |
|
12 |
12 |
$76.80 |
| 90680 |
|
12 |
12 |
$76.80 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
55 |
$4.10 |