| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
545 |
477 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
70 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
31 |
30 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$31.95 |