| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
885 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
738 |
$19K |
| 99385 |
|
72 |
71 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
95 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
356 |
331 |
$3K |
| 93000 |
|
225 |
218 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
74 |
71 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
41 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
74 |
71 |
$651.42 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$616.24 |
| 81000 |
|
273 |
267 |
$276.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
97 |
95 |
$184.86 |
| 81025 |
|
70 |
66 |
$168.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$71.98 |
| 99406 |
|
15 |
13 |
$54.25 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
46 |
$32.88 |
| 3008F |
|
1,165 |
1,048 |
$0.00 |
| 99000 |
|
101 |
97 |
$0.00 |
| 3080F |
|
50 |
49 |
$0.00 |
| 3011F |
|
30 |
30 |
$0.00 |
| 99173 |
|
368 |
357 |
$0.00 |
| 3077F |
|
74 |
70 |
$0.00 |
| 0556F |
|
12 |
12 |
$0.00 |