| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
735 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
82 |
$8K |
| 99490 |
Ccm add 20min |
234 |
216 |
$8K |
| H0049 |
Alcohol and/or drug screening |
195 |
164 |
$7K |
| 99403 |
|
94 |
89 |
$7K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$6K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
26 |
24 |
$2K |
| 99408 |
|
34 |
27 |
$954.72 |
| 94762 |
|
33 |
28 |
$702.61 |
| 99401 |
|
16 |
15 |
$504.32 |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
18 |
16 |
$501.00 |
| 90674 |
|
16 |
16 |
$384.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$243.90 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
16 |
16 |
$233.12 |