| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,195 |
2,750 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,859 |
1,579 |
$91K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$861.19 |
| 81002 |
|
733 |
704 |
$781.76 |
| 93000 |
|
73 |
73 |
$749.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$396.49 |
| 99442 |
|
30 |
26 |
$359.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$322.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
31 |
$319.53 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$297.70 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$41.17 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
337 |
320 |
$40.78 |
| 81003 |
|
29 |
29 |
$22.08 |
| 3008F |
|
15 |
15 |
$0.00 |
| 2000F |
|
17 |
17 |
$0.00 |
| 82948 |
|
18 |
17 |
$0.00 |