| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,657 |
1,447 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
678 |
$64K |
| 99442 |
|
229 |
215 |
$11K |
| 99443 |
|
65 |
60 |
$3K |
| 99441 |
|
27 |
27 |
$868.04 |
| 90756 |
|
26 |
26 |
$640.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$472.06 |
| 3078F |
|
315 |
294 |
$417.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$394.60 |
| 3074F |
|
286 |
268 |
$317.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$179.48 |
| 93000 |
|
12 |
12 |
$166.37 |
| 36415 |
Collection of venous blood by venipuncture |
355 |
351 |
$116.43 |
| 82948 |
|
24 |
24 |
$67.77 |
| 1159F |
|
197 |
184 |
$10.01 |
| 1160F |
|
84 |
79 |
$0.01 |
| 3075F |
|
13 |
12 |
$0.00 |