| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,697 |
4,189 |
$230K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
201 |
185 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
262 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$2K |
| 99401 |
|
79 |
75 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$991.20 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$226.52 |
| 94760 |
|
260 |
254 |
$219.75 |
| 36415 |
Collection of venous blood by venipuncture |
179 |
165 |
$189.99 |
| 99173 |
|
50 |
49 |
$183.90 |
| 92558 |
|
13 |
13 |
$7.18 |