| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,843 |
1,541 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
569 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
100 |
$7K |
| 99385 |
|
57 |
57 |
$5K |
| 93923 |
|
39 |
24 |
$4K |
| 93000 |
|
222 |
220 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$2K |
| 95924 |
|
12 |
12 |
$1K |
| 95923 |
|
12 |
12 |
$1K |
| 96132 |
|
13 |
13 |
$810.06 |
| 36415 |
Collection of venous blood by venipuncture |
680 |
648 |
$666.80 |
| 96138 |
|
13 |
13 |
$261.28 |
| 93040 |
|
24 |
24 |
$197.06 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$74.45 |