| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,412 |
5,098 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
98 |
$3K |
| 99442 |
|
55 |
52 |
$2K |
| 90686 |
|
157 |
157 |
$698.67 |
| 90656 |
|
30 |
30 |
$105.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$86.79 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
79 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
299 |
261 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
236 |
236 |
$0.00 |
| 1123F |
|
53 |
53 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
54 |
$0.00 |
| 1157F |
|
24 |
24 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
465 |
438 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| 1158F |
|
24 |
24 |
$0.00 |
| 99080 |
|
101 |
13 |
$0.00 |