| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,604 |
1,579 |
$23K |
| G0513 |
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) |
13 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
56 |
$827.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
99 |
78 |
$503.38 |
| G0008 |
Administration of influenza virus vaccine |
84 |
81 |
$139.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$114.03 |
| 90688 |
|
46 |
43 |
$76.25 |
| 90674 |
|
26 |
26 |
$55.52 |
| 99497 |
|
120 |
99 |
$47.86 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
116 |
91 |
$0.00 |
| 90653 |
|
35 |
35 |
$0.00 |