| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,370 |
1,084 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
595 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
115 |
$11K |
| 36410 |
|
256 |
246 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
135 |
27 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
358 |
335 |
$638.28 |
| G0434 |
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter |
163 |
98 |
$0.00 |