| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,314 |
4,344 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,417 |
1,228 |
$20K |
| 99215 |
Prolong outpt/office vis |
840 |
702 |
$7K |
| 52000 |
|
672 |
528 |
$5K |
| 51798 |
|
3,436 |
2,955 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
398 |
333 |
$2K |
| 51700 |
|
284 |
161 |
$2K |
| 51741 |
|
425 |
383 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,162 |
1,850 |
$437.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
117 |
$391.84 |
| 76872 |
|
30 |
24 |
$161.49 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
61 |
38 |
$47.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
12 |
$14.01 |
| J1644 |
Injection, heparin sodium, per 1000 units |
18 |
12 |
$0.52 |
| J3490 |
Unclassified drugs |
18 |
12 |
$0.04 |