| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,731 |
7,520 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,000 |
3,808 |
$21K |
| 99442 |
|
579 |
558 |
$15K |
| 11721 |
|
254 |
254 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
73 |
72 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
399 |
399 |
$124.02 |
| 11056 |
|
79 |
79 |
$22.79 |
| 3074F |
|
870 |
851 |
$0.00 |
| 3079F |
|
586 |
569 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
822 |
811 |
$0.00 |
| 99386 |
|
14 |
13 |
$0.00 |
| 3075F |
|
42 |
41 |
$0.00 |
| 3078F |
|
511 |
500 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
59 |
$0.00 |
| 81002 |
|
43 |
40 |
$0.00 |
| 3077F |
|
166 |
160 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$0.00 |