| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,134 |
3,586 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
289 |
239 |
$20K |
| 93000 |
|
1,247 |
1,243 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
131 |
131 |
$14K |
| 99484 |
|
181 |
181 |
$7K |
| 99441 |
|
135 |
126 |
$6K |
| 92551 |
|
731 |
730 |
$3K |
| 81003 |
|
1,173 |
1,169 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$355.23 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
46 |
$347.92 |
| 90656 |
|
14 |
14 |
$291.34 |
| 36415 |
Collection of venous blood by venipuncture |
1,712 |
1,685 |
$142.81 |
| 99051 |
|
26 |
25 |
$120.96 |
| 99000 |
|
1,699 |
1,670 |
$108.31 |
| 82962 |
|
191 |
167 |
$14.75 |