| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,238 |
4,489 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
887 |
733 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
84 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
80 |
$4K |
| 3008F |
|
156 |
149 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$1K |
| 90686 |
|
98 |
91 |
$334.23 |
| 96127 |
|
87 |
82 |
$307.29 |
| 90670 |
|
44 |
41 |
$129.09 |
| 90698 |
|
16 |
15 |
$43.03 |
| 90680 |
|
15 |
14 |
$39.72 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
15 |
$0.00 |