| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,751 |
1,424 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
375 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
109 |
$7K |
| 96127 |
|
1,097 |
924 |
$5K |
| 99401 |
|
131 |
118 |
$2K |
| 93000 |
|
91 |
67 |
$902.48 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$856.10 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$730.95 |
| 81003 |
|
178 |
129 |
$165.27 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
28 |
$42.20 |
| 99070 |
|
217 |
182 |
$0.00 |
| 99071 |
|
176 |
149 |
$0.00 |