| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
554 |
428 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
378 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
59 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$926.70 |
| 99406 |
|
73 |
67 |
$419.68 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
35 |
$331.16 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
158 |
$289.36 |
| 96103 |
|
32 |
32 |
$250.45 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
21 |
$102.20 |
| 99051 |
|
90 |
77 |
$15.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
18 |
18 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |