| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
642 |
$142.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$74.26 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 96160 |
|
131 |
129 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |