| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,077 |
3,475 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,274 |
1,113 |
$64K |
| 99406 |
|
710 |
613 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
340 |
337 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,507 |
1,423 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
123 |
$2K |
| 90688 |
|
89 |
89 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
176 |
175 |
$1K |
| 93000 |
|
72 |
68 |
$788.52 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
69 |
69 |
$600.60 |
| 99490 |
Ccm add 20min |
263 |
254 |
$436.79 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$35.20 |
| 96127 |
|
41 |
41 |
$22.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |