| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,364 |
1,963 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,125 |
$94K |
| 90686 |
|
321 |
266 |
$5K |
| 96127 |
|
214 |
198 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
124 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 90682 |
|
16 |
13 |
$746.53 |
| 90656 |
|
13 |
13 |
$263.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$222.95 |
| 36415 |
Collection of venous blood by venipuncture |
294 |
241 |
$183.94 |