| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,213 |
2,508 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,414 |
2,709 |
$147K |
| 36415 |
Collection of venous blood by venipuncture |
1,471 |
1,235 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$955.09 |
| 99406 |
|
32 |
24 |
$354.70 |
| 81003 |
|
30 |
26 |
$66.63 |