| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,307 |
2,733 |
$53K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
70 |
$130.31 |
| 90688 |
|
12 |
12 |
$35.00 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
108 |
72 |
$0.00 |