| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,440 |
4,285 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,295 |
960 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
2,351 |
2,146 |
$3K |
| 90686 |
|
172 |
154 |
$2K |
| 90682 |
|
47 |
42 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
247 |
222 |
$474.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
83 |
$427.56 |
| 90688 |
|
38 |
30 |
$299.28 |
| 90658 |
|
40 |
26 |
$278.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
69 |
$97.63 |
| G0008 |
Administration of influenza virus vaccine |
305 |
285 |
$92.52 |
| 90656 |
|
12 |
12 |
$79.20 |
| 82270 |
|
54 |
52 |
$49.68 |
| 96127 |
|
25 |
24 |
$46.39 |
| 90662 |
|
57 |
56 |
$0.00 |