| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,506 |
2,239 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
740 |
$15K |
| 92552 |
|
25 |
25 |
$13.77 |
| 94667 |
|
867 |
677 |
$0.00 |
| 90662 |
|
81 |
81 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 94668 |
|
866 |
676 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
81 |
81 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |