| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,261 |
2,910 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,232 |
1,010 |
$132K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
205 |
195 |
$56K |
| 99205 |
Prolong outpt/office vis |
89 |
87 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
173 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
112 |
66 |
$7K |
| 99215 |
Prolong outpt/office vis |
30 |
25 |
$4K |
| 93923 |
|
16 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
641 |
582 |
$1K |
| 69210 |
|
17 |
17 |
$439.10 |
| 93000 |
|
12 |
12 |
$190.16 |
| 99000 |
|
583 |
496 |
$187.72 |
| 3008F |
|
68 |
67 |
$51.00 |
| 94760 |
|
93 |
49 |
$18.98 |
| 0513F |
|
29 |
12 |
$0.00 |