| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
908 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
252 |
$19K |
| 99441 |
|
84 |
82 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
44 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$3K |
| 99442 |
|
22 |
22 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$1K |
| 93000 |
|
69 |
69 |
$465.57 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$133.00 |
| 96127 |
|
15 |
14 |
$41.30 |
| 97803 |
|
13 |
13 |
$0.00 |