| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,623 |
4,026 |
$415K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
890 |
$67K |
| 93922 |
|
181 |
163 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
97 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
61 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
41 |
40 |
$1K |
| 93000 |
|
28 |
25 |
$404.63 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
85 |
$228.92 |
| 99406 |
|
13 |
12 |
$179.64 |
| 99401 |
|
75 |
44 |
$0.00 |