| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
922 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
246 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$899.70 |
| 99051 |
|
71 |
64 |
$581.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$152.81 |
| G9275 |
Documentation that patient is a current non-tobacco user |
35 |
35 |
$82.00 |
| 3074F |
|
255 |
191 |
$15.00 |
| 3078F |
|
274 |
203 |
$15.00 |
| 3048F |
|
32 |
32 |
$0.00 |
| 3008F |
|
304 |
246 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
80 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
132 |
$0.00 |
| 99000 |
|
51 |
51 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 3725F |
|
50 |
50 |
$0.00 |