| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,674 |
2,467 |
$178K |
| 99215 |
Prolong outpt/office vis |
1,347 |
880 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,250 |
1,994 |
$106K |
| 99205 |
Prolong outpt/office vis |
308 |
291 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
714 |
632 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
121 |
$12K |
| 99000 |
|
1,858 |
1,739 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
39 |
$2K |
| 81002 |
|
638 |
398 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$947.64 |
| 36415 |
Collection of venous blood by venipuncture |
484 |
463 |
$909.18 |
| 84703 |
|
14 |
13 |
$105.28 |