| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,162 |
1,868 |
$135K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,986 |
1,095 |
$120K |
| 99215 |
Prolong outpt/office vis |
733 |
620 |
$39K |
| 90686 |
|
51 |
39 |
$947.82 |
| 80053 |
Comprehensive metabolic panel |
41 |
40 |
$233.10 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
114 |
106 |
$150.45 |
| 85027 |
|
14 |
13 |
$45.92 |
| 36415 |
Collection of venous blood by venipuncture |
390 |
371 |
$0.00 |