| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
640 |
528 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
365 |
340 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
235 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
234 |
226 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
152 |
144 |
$3K |
| 99385 |
|
12 |
12 |
$253.00 |
| T1016 |
Case management, each 15 minutes |
13 |
13 |
$98.16 |
| 36415 |
Collection of venous blood by venipuncture |
235 |
202 |
$0.00 |
| 81025 |
|
488 |
468 |
$0.00 |
| 81002 |
|
129 |
117 |
$0.00 |
| 87210 |
|
17 |
17 |
$0.00 |