| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,779 |
1,485 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
638 |
575 |
$13K |
| 99384 |
|
94 |
86 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
49 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
230 |
192 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
39 |
$2K |
| 99173 |
|
544 |
451 |
$469.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$191.10 |
| 96160 |
|
106 |
60 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
87 |
43 |
$0.00 |