| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,110 |
6,191 |
$746K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,855 |
1,681 |
$231K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
190 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
74 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
29 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
68 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
34 |
$145.18 |
| 36415 |
Collection of venous blood by venipuncture |
831 |
752 |
$3.19 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |