| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,542 |
6,724 |
$829K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
239 |
237 |
$30K |
| 90674 |
|
689 |
689 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
109 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
837 |
831 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
441 |
428 |
$5K |
| 90756 |
|
40 |
40 |
$948.80 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
198 |
198 |
$574.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,662 |
1,640 |
$504.17 |
| H0049 |
Alcohol and/or drug screening |
225 |
225 |
$405.60 |
| 90658 |
|
12 |
12 |
$204.82 |
| S9470 |
Nutritional counseling, dietitian visit |
247 |
247 |
$0.06 |
| 99000 |
|
610 |
597 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
75 |
69 |
$0.00 |