| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
1,050 |
$106K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
483 |
480 |
$79K |
| 99215 |
Prolong outpt/office vis |
350 |
345 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
486 |
481 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
159 |
158 |
$3K |
| 84439 |
|
141 |
140 |
$2K |
| 95251 |
|
13 |
13 |
$353.48 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
145 |
$49.18 |
| G8432 |
Depression screening not documented, reason not given |
541 |
532 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
123 |
123 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
22 |
22 |
$0.00 |