| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,799 |
11,274 |
$915K |
| 99215 |
Prolong outpt/office vis |
321 |
233 |
$29K |
| 80305 |
|
2,703 |
2,242 |
$10K |
| 93923 |
|
164 |
79 |
$7K |
| 95923 |
|
82 |
79 |
$4K |
| 95921 |
|
82 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
71 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$685.30 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |