| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,125 |
9,564 |
$1.09M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,575 |
1,575 |
$206K |
| 92552 |
|
2,390 |
2,390 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
512 |
$68K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,512 |
2,512 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,857 |
1,827 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
250 |
$30K |
| 90674 |
|
989 |
989 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
224 |
$14K |
| 93000 |
|
689 |
683 |
$11K |
| 90686 |
|
320 |
320 |
$7K |
| 0012A |
|
94 |
94 |
$4K |
| 0064A |
|
85 |
85 |
$4K |
| 0011A |
|
98 |
98 |
$3K |
| 90656 |
|
107 |
107 |
$2K |
| 99401 |
|
54 |
54 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,659 |
4,610 |
$2K |
| 90756 |
|
68 |
68 |
$2K |
| 90688 |
|
37 |
37 |
$713.95 |
| 3078F |
|
359 |
324 |
$682.50 |
| 3074F |
|
305 |
275 |
$655.74 |
| 0124A |
|
13 |
13 |
$560.60 |
| 91301 |
|
200 |
196 |
$0.16 |
| 91306 |
|
81 |
81 |
$0.07 |
| 91312 |
|
13 |
13 |
$0.03 |
| 3008F |
|
1,363 |
1,363 |
$0.00 |
| 1000F |
|
19 |
19 |
$0.00 |
| 1036F |
|
17 |
17 |
$0.00 |