| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
270 |
225 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
295 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
32 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
55 |
51 |
$775.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
74 |
55 |
$597.24 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
74 |
54 |
$583.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
30 |
$508.14 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$370.68 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
104 |
$263.04 |
| 90686 |
|
29 |
28 |
$262.20 |
| 99000 |
|
153 |
132 |
$0.00 |