| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
301 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
165 |
33 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
151 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$334.37 |
| 99442 |
|
13 |
13 |
$119.76 |
| 94010 |
|
12 |
12 |
$72.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
13 |
13 |
$43.34 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
89 |
89 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
62 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |