| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,868 |
1,625 |
$87K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
177 |
169 |
$17K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
437 |
411 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
475 |
449 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
233 |
226 |
$3K |
| 99386 |
|
24 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$692.40 |
| 99406 |
|
104 |
93 |
$687.00 |
| 0513F |
|
247 |
238 |
$680.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$98.52 |
| 2015F |
|
13 |
12 |
$60.00 |
| 96127 |
|
13 |
13 |
$26.29 |
| 94760 |
|
16 |
15 |
$19.56 |
| 3077F |
|
106 |
97 |
$0.00 |
| 3078F |
|
141 |
131 |
$0.00 |
| 3008F |
|
521 |
487 |
$0.00 |
| 1125F |
|
304 |
282 |
$0.00 |
| 3080F |
|
168 |
156 |
$0.00 |
| 3074F |
|
223 |
209 |
$0.00 |
| 3079F |
|
25 |
24 |
$0.00 |