| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,615 |
1,558 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
108 |
$236.09 |
| 99442 |
|
119 |
117 |
$214.72 |
| 93000 |
|
40 |
38 |
$57.64 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
36 |
36 |
$17.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$3.11 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
320 |
$3.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |