| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,737 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
780 |
765 |
$63K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
804 |
802 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 90686 |
|
41 |
38 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$1K |
| 90682 |
|
31 |
31 |
$670.00 |
| 36415 |
Collection of venous blood by venipuncture |
514 |
505 |
$375.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$123.26 |
| 36416 |
|
12 |
12 |
$60.00 |
| 94760 |
|
95 |
92 |
$0.00 |