| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,484 |
1,228 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,060 |
1,554 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
15 |
$876.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
170 |
102 |
$306.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
20 |
$297.90 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
107 |
$166.84 |
| T1015 |
Clinic visit/encounter, all-inclusive |
22 |
18 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
24 |
$0.00 |