| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
302 |
$19K |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$965.44 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
30 |
15 |
$887.92 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
14 |
$2.46 |