| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,142 |
1,874 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
596 |
$71K |
| 99497 |
|
28 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
41 |
$732.33 |
| 36415 |
Collection of venous blood by venipuncture |
851 |
834 |
$696.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
50 |
$634.36 |
| 90686 |
|
21 |
21 |
$419.98 |
| 1159F |
|
54 |
53 |
$15.00 |
| 1160F |
|
54 |
53 |
$15.00 |
| 3008F |
|
15 |
14 |
$0.00 |