| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,247 |
4,488 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,336 |
1,977 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
138 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
44 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
225 |
173 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
210 |
179 |
$820.00 |
| 90651 |
|
49 |
30 |
$544.31 |
| 81002 |
|
136 |
123 |
$353.60 |
| 90658 |
|
47 |
40 |
$327.90 |
| 90686 |
|
40 |
34 |
$275.03 |
| 90620 |
|
14 |
12 |
$229.79 |
| 99423 |
|
16 |
13 |
$175.14 |