| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,131 |
1,890 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
831 |
743 |
$59K |
| 99215 |
Prolong outpt/office vis |
227 |
221 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
125 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
140 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
618 |
608 |
$2K |
| 3074F |
|
920 |
838 |
$0.53 |
| 3078F |
|
904 |
827 |
$0.50 |
| 3079F |
|
181 |
168 |
$0.16 |
| 96160 |
|
15 |
15 |
$0.15 |
| 3075F |
|
73 |
70 |
$0.06 |
| 3077F |
|
39 |
39 |
$0.03 |
| 3080F |
|
13 |
13 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77 |
77 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |