| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,804 |
1,558 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,090 |
1,796 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
81 |
$2K |
| 90686 |
|
112 |
86 |
$2K |
| 90656 |
|
12 |
12 |
$220.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$167.44 |
| 81003 |
|
72 |
55 |
$150.42 |
| 85018 |
|
63 |
43 |
$145.85 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
142 |
$0.00 |