| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
256 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
153 |
$13K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
899 |
629 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 81025 |
|
92 |
79 |
$560.95 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$140.49 |