| Code | Description | Claims | Beneficiaries | Total Paid |
| 99442 |
|
476 |
435 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,911 |
3,402 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
958 |
941 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
396 |
396 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
58 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
333 |
330 |
$581.21 |
| 99443 |
|
12 |
12 |
$547.02 |
| 92551 |
|
61 |
58 |
$255.20 |
| G0008 |
Administration of influenza virus vaccine |
378 |
378 |
$213.53 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
188 |
188 |
$175.92 |
| 36410 |
|
172 |
172 |
$168.61 |
| 99490 |
Ccm add 20min |
24 |
24 |
$166.56 |
| 90662 |
|
279 |
279 |
$160.40 |
| 90658 |
|
12 |
12 |
$122.28 |
| 81001 |
|
58 |
56 |
$83.20 |
| 90688 |
|
85 |
85 |
$75.69 |
| 99173 |
|
61 |
58 |
$55.88 |
| 85999 |
|
53 |
51 |
$42.14 |
| 92552 |
|
12 |
12 |
$9.04 |
| 86580 |
|
22 |
22 |
$7.91 |
| 81000 |
|
21 |
21 |
$0.00 |