| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,215 |
1,170 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
161 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
45 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
17 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$1.54 |