| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
1,012 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,219 |
1,212 |
$21K |
| 99205 |
Prolong outpt/office vis |
442 |
441 |
$20K |
| 99215 |
Prolong outpt/office vis |
47 |
47 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$465.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$316.82 |
| 99443 |
|
15 |
15 |
$221.09 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$13.07 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
12 |
12 |
$0.00 |