| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
724 |
647 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
143 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
50 |
$6K |
| 87110 |
|
258 |
257 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
68 |
$4K |
| 99459 |
|
14 |
14 |
$349.54 |
| 36415 |
Collection of venous blood by venipuncture |
136 |
132 |
$210.60 |
| 81025 |
|
12 |
12 |
$79.24 |