| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,859 |
1,658 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,100 |
966 |
$27K |
| 99386 |
|
12 |
12 |
$1K |
| 93000 |
|
55 |
55 |
$339.56 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
46 |
40 |
$322.00 |
| 36415 |
Collection of venous blood by venipuncture |
219 |
200 |
$159.98 |
| 90662 |
|
30 |
24 |
$112.08 |
| G0008 |
Administration of influenza virus vaccine |
30 |
24 |
$36.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$8.11 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
16 |
$8.11 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 99000 |
|
76 |
74 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
24 |
$0.00 |