| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,072 |
1,942 |
$94K |
| 99215 |
Prolong outpt/office vis |
2,212 |
2,102 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,475 |
1,385 |
$63K |
| 80305 |
|
1,943 |
1,921 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
130 |
$10K |
| 62323 |
|
42 |
40 |
$6K |
| 77003 |
|
395 |
390 |
$5K |
| 99205 |
Prolong outpt/office vis |
61 |
61 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$2K |
| 72275 |
|
40 |
39 |
$880.41 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$103.67 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |