| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
1,110 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
744 |
597 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
326 |
$8K |
| 99406 |
|
42 |
41 |
$50.00 |
| 3078F |
|
98 |
90 |
$0.00 |
| 1159F |
|
57 |
57 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
154 |
153 |
$0.00 |
| 3079F |
|
42 |
39 |
$0.00 |
| 3074F |
|
117 |
104 |
$0.00 |
| 4010F |
|
28 |
23 |
$0.00 |
| 4000F |
|
34 |
34 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
103 |
103 |
$0.00 |