| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,474 |
6,842 |
$550K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,837 |
3,440 |
$341K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
468 |
467 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
395 |
395 |
$33K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
17 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
308 |
308 |
$392.12 |