| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,215 |
1,167 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
767 |
724 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
55 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,224 |
1,141 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$5K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99000 |
|
124 |
113 |
$832.61 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$66.54 |
| 3078F |
|
40 |
40 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |