| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,718 |
1,392 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
438 |
$20K |
| 99000 |
|
261 |
246 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$665.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$140.31 |
| 3074F |
|
64 |
61 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
172 |
162 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
14 |
12 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
14 |
12 |
$0.00 |
| 3078F |
|
25 |
24 |
$0.00 |