| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,931 |
2,521 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,029 |
965 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
297 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
69 |
$6K |
| 90686 |
|
117 |
110 |
$2K |
| 90656 |
|
42 |
30 |
$766.52 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
33 |
$4.08 |
| 99072 |
|
146 |
138 |
$0.00 |