| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,590 |
2,526 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
477 |
468 |
$40K |
| 99233 |
Prolong inpt eval add15 m |
483 |
117 |
$30K |
| 99223 |
Prolong inpt eval add15 m |
138 |
127 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
2,052 |
1,986 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
55 |
$3K |
| 76536 |
|
24 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 95251 |
|
24 |
24 |
$621.02 |
| 76981 |
|
12 |
12 |
$426.91 |
| 80053 |
Comprehensive metabolic panel |
25 |
24 |
$134.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$95.35 |