| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,126 |
804 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
463 |
$64K |
| 99497 |
|
318 |
287 |
$27K |
| 99498 |
|
183 |
176 |
$13K |
| H0049 |
Alcohol and/or drug screening |
481 |
447 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
425 |
398 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99051 |
|
91 |
68 |
$228.07 |
| 3074F |
|
23 |
20 |
$0.00 |
| 3079F |
|
22 |
20 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
30 |
27 |
$0.00 |
| 3008F |
|
24 |
22 |
$0.00 |
| 2010F |
|
23 |
22 |
$0.00 |
| 1159F |
|
21 |
20 |
$0.00 |
| 1160F |
|
21 |
20 |
$0.00 |