| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,446 |
3,039 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,463 |
1,297 |
$67K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
196 |
191 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 99397 |
|
27 |
27 |
$2K |
| 96160 |
|
558 |
537 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
171 |
168 |
$981.75 |
| 3044F |
|
26 |
24 |
$165.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
42 |
$0.00 |