| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,954 |
2,560 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,820 |
1,689 |
$95K |
| 36415 |
Collection of venous blood by venipuncture |
178 |
170 |
$4K |
| 90732 |
|
15 |
15 |
$1K |
| 90662 |
|
100 |
100 |
$905.88 |
| 93000 |
|
89 |
76 |
$668.32 |
| 69210 |
|
56 |
56 |
$146.96 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
67 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
30 |
30 |
$0.00 |
| 99490 |
Ccm add 20min |
100 |
100 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
101 |
101 |
$-236.49 |