| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
147 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
126 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
48 |
$3K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
38 |
27 |
$55.88 |
| 99406 |
|
32 |
13 |
$21.60 |
| 99366 |
|
55 |
14 |
$0.00 |