| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,376 |
4,585 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,139 |
1,930 |
$154K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
154 |
$14K |
| 90756 |
|
556 |
556 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
92 |
92 |
$14K |
| 93000 |
|
916 |
908 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
837 |
829 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$8K |
| 0124A |
|
156 |
156 |
$6K |
| 90836 |
|
90 |
79 |
$6K |
| 90682 |
|
228 |
228 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,543 |
1,518 |
$4K |
| 0004A |
|
72 |
72 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
140 |
140 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
143 |
139 |
$2K |
| 87110 |
|
246 |
246 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
63 |
63 |
$910.03 |
| 99000 |
|
128 |
125 |
$0.00 |
| 93922 |
|
14 |
14 |
$0.00 |