| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
756 |
$34K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,261 |
753 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
35 |
$3K |
| 99397 |
|
194 |
64 |
$137.59 |
| 3074F |
|
811 |
537 |
$126.82 |
| 3078F |
|
736 |
490 |
$0.00 |
| 1159F |
|
174 |
94 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
63 |
37 |
$0.00 |
| 1160F |
|
171 |
92 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,002 |
640 |
$0.00 |
| 93000 |
|
140 |
91 |
$0.00 |
| 3075F |
|
46 |
34 |
$0.00 |
| 3080F |
|
19 |
17 |
$0.00 |
| 3079F |
|
46 |
40 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 94010 |
|
118 |
103 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
12 |
$0.00 |