| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,531 |
1,440 |
$144K |
| 99205 |
Prolong outpt/office vis |
283 |
278 |
$43K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
338 |
331 |
$35K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
176 |
173 |
$11K |
| 93922 |
|
214 |
201 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
149 |
$9K |
| 94060 |
|
101 |
96 |
$5K |
| 99215 |
Prolong outpt/office vis |
36 |
36 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
287 |
266 |
$3K |
| 93000 |
|
239 |
228 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
12 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
55 |
53 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
54 |
$957.49 |