| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,840 |
3,816 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
158 |
$606.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$192.24 |
| 96156 |
|
70 |
70 |
$71.41 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$65.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
199 |
199 |
$61.05 |
| 36415 |
Collection of venous blood by venipuncture |
1,322 |
1,298 |
$42.80 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
255 |
255 |
$41.91 |
| 3008F |
|
916 |
912 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
127 |
127 |
$0.00 |
| 1036F |
|
142 |
142 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
181 |
180 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
105 |
105 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
56 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
62 |
62 |
$0.00 |