| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,264 |
2,998 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,858 |
1,744 |
$60K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,015 |
1,013 |
$18K |
| 90756 |
|
199 |
199 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
182 |
$663.44 |
| 90688 |
|
28 |
28 |
$486.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$348.87 |
| 81005 |
|
123 |
113 |
$199.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
363 |
360 |
$10.59 |