| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
615 |
599 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
299 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
166 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$12K |
| 99442 |
|
169 |
167 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
188 |
$3K |
| 90656 |
|
130 |
130 |
$3K |
| 3078F |
|
202 |
196 |
$3K |
| 91320 |
|
16 |
16 |
$2K |
| 3074F |
|
151 |
147 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 3079F |
|
87 |
87 |
$1K |
| 0513F |
|
88 |
87 |
$1K |
| 3075F |
|
69 |
69 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
981 |
943 |
$926.18 |
| 3044F |
|
94 |
94 |
$620.00 |
| 90480 |
|
16 |
16 |
$573.42 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
106 |
106 |
$423.37 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
35 |
$400.00 |
| 3077F |
|
94 |
94 |
$355.00 |
| 99406 |
|
15 |
15 |
$169.24 |
| 3011F |
|
101 |
101 |
$27.76 |
| 3008F |
|
242 |
242 |
$0.00 |
| 99000 |
|
188 |
180 |
$0.00 |
| 1160F |
|
56 |
56 |
$0.00 |
| 1159F |
|
56 |
56 |
$0.00 |