| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
223 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
149 |
$13K |
| 0502F |
|
142 |
93 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
51 |
$8K |
| 59430 |
|
19 |
13 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 99385 |
|
15 |
14 |
$1K |
| 96127 |
|
70 |
64 |
$996.74 |
| 81025 |
|
74 |
69 |
$389.45 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
28 |
$0.00 |