| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,450 |
1,188 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
292 |
$7K |
| 99490 |
Ccm add 20min |
491 |
471 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
12 |
$3K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
42 |
42 |
$193.34 |
| 90756 |
|
33 |
33 |
$173.04 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
64 |
57 |
$33.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
80 |
73 |
$33.03 |
| 82947 |
|
77 |
72 |
$4.28 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
75 |
$2.94 |
| G0008 |
Administration of influenza virus vaccine |
54 |
54 |
$0.00 |