| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,648 |
1,462 |
$42K |
| 99215 |
Prolong outpt/office vis |
316 |
288 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
109 |
$3K |
| 99000 |
|
27 |
25 |
$37.40 |
| 90688 |
|
14 |
14 |
$16.81 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
52 |
49 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
13 |
$0.00 |
| G9279 |
Pneumococcal screening performed and documentation of vaccination received prior to discharge |
19 |
18 |
$0.00 |