| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,727 |
1,697 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,602 |
1,508 |
$92K |
| 81000 |
|
1,076 |
1,050 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,916 |
1,854 |
$2K |
| 3074F |
|
1,630 |
1,485 |
$1K |
| 3078F |
|
1,711 |
1,558 |
$1K |
| 3079F |
|
889 |
836 |
$727.50 |
| 3077F |
|
468 |
424 |
$587.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$286.87 |
| 1159F |
|
2,712 |
2,395 |
$235.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$225.10 |
| 1160F |
|
2,703 |
2,429 |
$190.00 |
| 3075F |
|
212 |
202 |
$145.00 |
| 1126F |
|
1,050 |
957 |
$98.00 |
| 1125F |
|
233 |
218 |
$25.00 |
| 3044F |
|
16 |
16 |
$20.00 |
| 3080F |
|
13 |
12 |
$15.00 |
| 1036F |
|
299 |
294 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
177 |
177 |
$0.00 |