| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,843 |
1,387 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,152 |
854 |
$18K |
| 92587 |
|
245 |
175 |
$4K |
| 96127 |
|
196 |
154 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
331 |
259 |
$1K |
| 96160 |
|
49 |
47 |
$774.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
39 |
$698.45 |
| 93000 |
|
94 |
62 |
$486.69 |
| 36416 |
|
47 |
26 |
$52.05 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
19 |
12 |
$43.79 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
130 |
126 |
$25.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
28 |
$0.00 |
| 90662 |
|
35 |
15 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |