| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,851 |
2,284 |
$136K |
| 36415 |
Collection of venous blood by venipuncture |
1,446 |
1,342 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
40 |
$3K |
| 90662 |
|
79 |
78 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
90 |
89 |
$1K |
| 90688 |
|
43 |
32 |
$590.83 |
| 96127 |
|
116 |
110 |
$475.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
36 |
$328.92 |
| W7010 |
|
12 |
12 |
$188.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$183.57 |
| 96160 |
|
14 |
12 |
$27.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$0.00 |