| Code | Description | Claims | Beneficiaries | Total Paid |
| 99385 |
|
171 |
170 |
$23K |
| 99386 |
|
91 |
89 |
$14K |
| 99349 |
|
734 |
613 |
$8K |
| 99337 |
|
204 |
109 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
881 |
$5K |
| 96127 |
|
990 |
959 |
$4K |
| 99336 |
|
253 |
163 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
654 |
602 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
195 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 99496 |
|
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
76 |
$1K |
| 99335 |
|
88 |
56 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
61 |
42 |
$245.89 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
34 |
$6.00 |