| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,017 |
2,452 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
115 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,095 |
930 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$815.28 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
30 |
29 |
$615.53 |
| H0049 |
Alcohol and/or drug screening |
32 |
30 |
$0.00 |