| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,231 |
4,550 |
$161K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
281 |
278 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
163 |
163 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
70 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
53 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
232 |
224 |
$633.15 |
| 3079F |
|
233 |
219 |
$410.08 |
| 3075F |
|
150 |
144 |
$250.07 |
| 81002 |
|
48 |
46 |
$155.38 |
| 3074F |
|
98 |
90 |
$80.00 |
| 3078F |
|
74 |
70 |
$40.00 |
| 1125F |
|
187 |
171 |
$0.00 |
| 1126F |
|
84 |
80 |
$0.00 |
| 1170F |
|
59 |
54 |
$0.00 |
| 1160F |
|
28 |
24 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |