| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,374 |
3,240 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
511 |
492 |
$15K |
| 99215 |
Prolong outpt/office vis |
94 |
92 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
113 |
113 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
104 |
$1K |
| 90674 |
|
92 |
76 |
$11.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,040 |
1,031 |
$0.00 |
| 90673 |
|
33 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
17 |
17 |
$0.00 |
| 90661 |
|
17 |
17 |
$0.00 |