| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,031 |
986 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
273 |
272 |
$1K |
| 90688 |
|
26 |
26 |
$527.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$491.35 |
| 90674 |
|
18 |
18 |
$476.86 |
| 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) |
89 |
88 |
$440.85 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
41 |
41 |
$185.52 |
| 3079F |
|
13 |
12 |
$20.00 |
| 3074F |
|
27 |
27 |
$0.00 |