| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,494 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
134 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
145 |
127 |
$2K |
| 90756 |
|
191 |
187 |
$231.77 |
| 36415 |
Collection of venous blood by venipuncture |
980 |
873 |
$94.06 |
| G0008 |
Administration of influenza virus vaccine |
184 |
182 |
$30.90 |
| 99497 |
|
15 |
15 |
$27.92 |
| 1123F |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
85 |
69 |
$0.00 |