| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,234 |
$4K |
| 90686 |
|
61 |
61 |
$770.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
422 |
$752.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
132 |
$385.00 |
| 90688 |
|
59 |
59 |
$315.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
41 |
$0.00 |