| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,449 |
3,128 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,998 |
1,953 |
$161K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
565 |
565 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
458 |
458 |
$46K |
| 96127 |
|
1,127 |
1,126 |
$7K |
| 93000 |
|
454 |
453 |
$4K |
| 99442 |
|
40 |
37 |
$3K |
| 90688 |
|
45 |
45 |
$825.13 |
| 36415 |
Collection of venous blood by venipuncture |
3,738 |
3,667 |
$317.56 |
| 99457 |
|
440 |
427 |
$317.53 |
| 99454 |
|
50 |
47 |
$289.34 |
| 99483 |
Prolong outpt/office vis |
13 |
13 |
$266.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$215.00 |
| 99458 |
|
350 |
339 |
$165.12 |
| 99490 |
Ccm add 20min |
624 |
623 |
$148.25 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
294 |
293 |
$0.00 |
| 99000 |
|
2,010 |
1,952 |
$0.00 |