| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
934 |
857 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
317 |
$21K |
| 76857 |
|
220 |
214 |
$7K |
| 51798 |
|
240 |
236 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$1K |
| 81003 |
|
953 |
874 |
$896.73 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
478 |
$129.41 |
| 51741 |
|
12 |
12 |
$118.84 |
| 81000 |
|
72 |
68 |
$115.46 |
| 81002 |
|
226 |
215 |
$104.84 |