| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,231 |
1,897 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,562 |
1,375 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
176 |
156 |
$20K |
| 90674 |
|
135 |
133 |
$3K |
| 3008F |
|
838 |
773 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$2K |
| 99497 |
|
29 |
28 |
$1K |
| 96127 |
|
192 |
170 |
$799.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
106 |
$535.05 |
| 3074F |
|
221 |
206 |
$512.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$260.36 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
81 |
$189.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
51 |
$170.00 |
| 3079F |
|
119 |
107 |
$156.00 |
| 3078F |
|
81 |
75 |
$108.00 |
| 3075F |
|
12 |
12 |
$42.00 |