| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
529 |
515 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
433 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
84 |
84 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$1K |
| 3078F |
|
416 |
388 |
$0.00 |
| 3074F |
|
428 |
401 |
$0.00 |
| 3008F |
|
131 |
128 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |