| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
671 |
565 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
61 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
57 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
153 |
139 |
$381.29 |
| 80305 |
|
12 |
12 |
$132.24 |
| 93000 |
|
12 |
12 |
$108.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
17 |
$21.34 |
| 99000 |
|
13 |
13 |
$0.00 |