| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,788 |
1,695 |
$91K |
| 99444 |
|
1,255 |
338 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,173 |
2,003 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,160 |
1,100 |
$4K |
| 95923 |
|
78 |
73 |
$4K |
| 82947 |
|
1,773 |
1,592 |
$2K |
| 94760 |
|
3,429 |
3,119 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$638.13 |
| 3044F |
|
220 |
214 |
$360.01 |
| 96127 |
|
106 |
105 |
$267.33 |
| 99406 |
|
14 |
12 |
$109.82 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
42 |
$100.31 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$15.54 |
| 1126F |
|
1,647 |
1,568 |
$0.00 |
| 3074F |
|
1,356 |
1,269 |
$0.00 |
| 1125F |
|
1,645 |
1,497 |
$0.00 |
| 3075F |
|
329 |
308 |
$0.00 |
| 1170F |
|
3,666 |
3,325 |
$0.00 |
| 3008F |
|
2,011 |
1,863 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 1123F |
|
303 |
293 |
$0.00 |
| 4019F |
|
2,492 |
2,286 |
$0.00 |
| 1159F |
|
2,206 |
2,025 |
$0.00 |
| 3078F |
|
1,868 |
1,736 |
$0.00 |
| 0521F |
|
370 |
322 |
$0.00 |
| 1160F |
|
2,203 |
2,023 |
$0.00 |
| 1158F |
|
165 |
163 |
$0.00 |
| 99072 |
|
132 |
125 |
$0.00 |