| Code | Description | Claims | Beneficiaries | Total Paid |
| 3008F |
|
233 |
179 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
64 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
33 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$857.23 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
36 |
$303.72 |
| 3074F |
|
116 |
106 |
$204.06 |
| 3078F |
|
101 |
80 |
$44.19 |
| 3079F |
|
72 |
49 |
$0.00 |
| 3725F |
|
30 |
30 |
$0.00 |