| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,428 |
19,860 |
$458K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
235 |
235 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
693 |
659 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
74 |
$2K |
| 93000 |
|
43 |
43 |
$698.58 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
12 |
$440.44 |
| 90662 |
|
846 |
846 |
$398.01 |
| G0009 |
Administration of pneumococcal vaccine |
80 |
80 |
$180.00 |
| G0008 |
Administration of influenza virus vaccine |
691 |
690 |
$97.84 |
| 82962 |
|
1,962 |
1,838 |
$58.97 |
| 90756 |
|
24 |
24 |
$24.53 |
| 90670 |
|
54 |
54 |
$14.94 |
| 97803 |
|
56 |
56 |
$0.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
31 |
31 |
$0.00 |
| 3725F |
|
157 |
157 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
157 |
$0.00 |