| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,937 |
5,786 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,208 |
4,927 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,799 |
5,732 |
$122K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,102 |
1,088 |
$11K |
| 99443 |
|
96 |
85 |
$2K |
| 90686 |
|
32 |
31 |
$420.02 |
| 0004A |
|
12 |
12 |
$412.83 |
| 36415 |
Collection of venous blood by venipuncture |
152 |
145 |
$391.84 |
| 99442 |
|
39 |
32 |
$368.05 |
| 99490 |
Ccm add 20min |
39 |
39 |
$255.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
109 |
108 |
$224.96 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
47 |
45 |
$223.81 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
70 |
$218.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$93.08 |
| 94760 |
|
13 |
12 |
$3.43 |
| 99406 |
|
15 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |
| 99000 |
|
46 |
46 |
$0.00 |