| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,695 |
1,482 |
$50K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
666 |
603 |
$18K |
| 99349 |
|
23 |
15 |
$564.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$390.90 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
105 |
$60.00 |
| 80305 |
|
12 |
12 |
$14.96 |
| 1036F |
|
483 |
425 |
$0.41 |
| 1160F |
|
354 |
297 |
$0.00 |
| 3078F |
|
99 |
87 |
$0.00 |
| 3077F |
|
16 |
14 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
20 |
19 |
$0.00 |
| 3008F |
|
316 |
267 |
$0.00 |
| 3074F |
|
67 |
57 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |