| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,012 |
9,653 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,510 |
1,270 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
462 |
460 |
$23K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
992 |
939 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
86 |
$4K |
| 99348 |
|
487 |
363 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
902 |
893 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
450 |
401 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 90656 |
|
106 |
106 |
$1K |
| 90662 |
|
114 |
104 |
$1K |
| 90686 |
|
126 |
107 |
$822.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
41 |
$791.70 |
| 82947 |
|
507 |
485 |
$490.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$469.97 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$102.10 |