| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,525 |
9,960 |
$592K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
612 |
559 |
$36K |
| 93922 |
|
1,753 |
1,702 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
950 |
733 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
327 |
323 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
156 |
$8K |
| 99215 |
Prolong outpt/office vis |
58 |
55 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
38 |
$4K |
| 99386 |
|
19 |
19 |
$2K |
| 99407 |
|
761 |
656 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
98 |
46 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 99401 |
|
2,361 |
1,846 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
659 |
520 |
$250.00 |
| 93000 |
|
434 |
423 |
$108.37 |
| 36415 |
Collection of venous blood by venipuncture |
438 |
419 |
$55.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
51 |
$43.71 |
| 3048F |
|
230 |
109 |
$4.40 |
| 81003 |
|
25 |
25 |
$2.02 |
| 3078F |
|
150 |
69 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
56 |
31 |
$0.00 |
| 3074F |
|
99 |
82 |
$0.00 |