| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
240 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
26 |
$453.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
40 |
$401.19 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
123 |
$5.97 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
27 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |