| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,546 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
876 |
$41K |
| T1015 |
Clinic visit/encounter, all-inclusive |
206 |
80 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$973.87 |
| 90686 |
|
57 |
44 |
$929.72 |
| 36415 |
Collection of venous blood by venipuncture |
102 |
98 |
$4.10 |