| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,797 |
2,303 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,390 |
1,231 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
108 |
$1K |
| 90686 |
|
72 |
70 |
$1K |
| 90674 |
|
49 |
45 |
$891.35 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$748.14 |
| 36415 |
Collection of venous blood by venipuncture |
275 |
250 |
$737.09 |
| 99442 |
|
56 |
48 |
$533.85 |
| 99490 |
Ccm add 20min |
24 |
24 |
$165.64 |
| 90653 |
|
15 |
12 |
$133.40 |
| 90656 |
|
14 |
13 |
$114.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$96.59 |
| 90694 |
|
14 |
13 |
$66.43 |
| 99439 |
|
12 |
12 |
$60.34 |
| G0008 |
Administration of influenza virus vaccine |
75 |
59 |
$56.02 |
| 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) |
89 |
69 |
$19.96 |
| 90662 |
|
18 |
16 |
$0.00 |