| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,944 |
3,763 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
349 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
217 |
217 |
$25K |
| 99497 |
|
199 |
197 |
$14K |
| 90674 |
|
93 |
93 |
$3K |
| 99490 |
Ccm add 20min |
49 |
49 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
40 |
14 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
176 |
168 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
127 |
$1K |
| 90686 |
|
51 |
49 |
$841.30 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
119 |
116 |
$660.03 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
41 |
14 |
$593.89 |
| 99072 |
|
144 |
141 |
$400.00 |
| 3074F |
|
344 |
327 |
$247.50 |
| 3078F |
|
354 |
345 |
$235.00 |
| 93000 |
|
13 |
13 |
$182.72 |
| 99407 |
|
19 |
19 |
$118.00 |
| 94760 |
|
52 |
52 |
$9.57 |
| 1159F |
|
694 |
657 |
$0.00 |
| 1160F |
|
694 |
657 |
$0.00 |
| 1126F |
|
491 |
472 |
$0.00 |