| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,879 |
1,696 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
159 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
346 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
253 |
$3K |
| 90688 |
|
116 |
116 |
$2K |
| 90686 |
|
86 |
86 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$411.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
66 |
66 |
$232.28 |
| 99408 |
|
24 |
24 |
$137.80 |
| 99072 |
|
73 |
63 |
$135.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$101.28 |
| 36415 |
Collection of venous blood by venipuncture |
170 |
166 |
$29.40 |
| 3074F |
|
12 |
12 |
$0.03 |
| 3078F |
|
12 |
12 |
$0.03 |
| 98960 |
|
15 |
15 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$0.01 |
| 99000 |
|
178 |
173 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
113 |
111 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |
| 2000F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
107 |
105 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
125 |
125 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |