| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,317 |
5,054 |
$640K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,241 |
2,689 |
$260K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
111 |
$13K |
| 92551 |
|
1,210 |
1,149 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
87 |
80 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,312 |
3,047 |
$7K |
| 99173 |
|
1,309 |
1,246 |
$3K |
| 92552 |
|
111 |
109 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99401 |
|
58 |
51 |
$625.11 |
| 81002 |
|
66 |
66 |
$117.59 |
| 81025 |
|
16 |
16 |
$111.63 |
| 81003 |
|
20 |
14 |
$21.00 |
| 99000 |
|
25 |
25 |
$4.50 |