| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,362 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
422 |
$2K |
| 99442 |
|
230 |
225 |
$1K |
| 90658 |
|
16 |
16 |
$391.83 |
| 36415 |
Collection of venous blood by venipuncture |
975 |
939 |
$71.31 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |