| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,751 |
1,610 |
$90K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
673 |
663 |
$85K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
548 |
545 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
775 |
733 |
$59K |
| 99385 |
|
208 |
201 |
$27K |
| 99386 |
|
93 |
93 |
$13K |
| 81025 |
|
1,434 |
1,368 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,337 |
2,159 |
$3K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$2K |
| 81007 |
|
182 |
172 |
$2K |
| 0502F |
|
644 |
402 |
$0.00 |