| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
360 |
294 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
96 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$1K |
| 99497 |
|
13 |
13 |
$875.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
43 |
$644.99 |
| 80306 |
|
105 |
88 |
$587.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
53 |
$522.76 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
38 |
30 |
$288.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$251.99 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
62 |
$111.80 |
| 99406 |
|
16 |
12 |
$88.87 |
| 94760 |
|
26 |
23 |
$3.67 |
| 99490 |
Ccm add 20min |
49 |
49 |
$0.00 |