| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,486 |
2,242 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,798 |
1,521 |
$58K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
30 |
25 |
$103.50 |
| 99397 |
|
32 |
26 |
$97.71 |
| 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) |
366 |
288 |
$79.12 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
15 |
$73.50 |
| 90662 |
|
16 |
13 |
$8.35 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
14 |
$0.00 |