| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,235 |
1,028 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
217 |
217 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
212 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
139 |
$7K |
| 93000 |
|
315 |
315 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
201 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
217 |
216 |
$3K |
| 90686 |
|
123 |
123 |
$3K |
| 99441 |
|
52 |
50 |
$2K |
| 90656 |
|
70 |
70 |
$2K |
| 99406 |
|
13 |
13 |
$200.07 |
| H0049 |
Alcohol and/or drug screening |
209 |
207 |
$64.80 |
| G9276 |
Documentation that patient is a current tobacco user |
13 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
215 |
213 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
197 |
192 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
175 |
174 |
$0.00 |