| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
469 |
435 |
$33K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
95 |
94 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
62 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |