| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
933 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
318 |
317 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
428 |
$33K |
| 76857 |
|
499 |
493 |
$19K |
| 52204 |
|
17 |
17 |
$3K |
| 81003 |
|
2,001 |
1,823 |
$2K |
| 51798 |
|
186 |
186 |
$2K |
| 51728 |
|
14 |
14 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 51784 |
|
14 |
14 |
$929.75 |
| 88112 |
|
13 |
12 |
$694.38 |
| 88368 |
|
13 |
12 |
$622.50 |
| 51741 |
|
49 |
40 |
$550.51 |
| 36415 |
Collection of venous blood by venipuncture |
875 |
863 |
$471.68 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$245.24 |
| 81000 |
|
54 |
50 |
$148.56 |
| 88313 |
|
13 |
12 |
$108.87 |