| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,731 |
2,084 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
964 |
867 |
$91K |
| 52000 |
|
108 |
101 |
$8K |
| 81003 |
|
3,184 |
2,361 |
$4K |
| 51798 |
|
577 |
503 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
20 |
$713.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
20 |
$456.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
16 |
$88.67 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$24.30 |
| 99000 |
|
212 |
182 |
$0.00 |