| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,342 |
6,561 |
$148K |
| 99205 |
Prolong outpt/office vis |
134 |
125 |
$14K |
| 82962 |
|
1,760 |
1,612 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
63 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$366.80 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
40 |
$60.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
59 |
$51.39 |
| 90686 |
|
15 |
13 |
$38.06 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |