| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,558 |
2,012 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
81 |
$11K |
| 90674 |
|
231 |
231 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
53 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
371 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
415 |
415 |
$6K |
| 99441 |
|
44 |
44 |
$2K |
| 0064A |
|
20 |
20 |
$849.44 |
| 90661 |
|
23 |
23 |
$845.62 |
| 99051 |
|
101 |
90 |
$574.91 |
| 0031A |
|
12 |
12 |
$510.90 |
| 36415 |
Collection of venous blood by venipuncture |
1,146 |
1,117 |
$447.96 |
| 90686 |
|
17 |
17 |
$382.79 |
| 96127 |
|
64 |
64 |
$137.23 |
| H0049 |
Alcohol and/or drug screening |
450 |
450 |
$116.38 |
| 93000 |
|
25 |
25 |
$74.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
140 |
140 |
$58.82 |
| 91306 |
|
20 |
20 |
$0.03 |
| H0001 |
Alcohol and/or drug assessment |
87 |
87 |
$0.01 |
| 99072 |
|
16 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
452 |
452 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |