| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,156 |
1,706 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
223 |
$8K |
| 99406 |
|
792 |
649 |
$4K |
| 90756 |
|
55 |
54 |
$832.97 |
| 99441 |
|
74 |
61 |
$814.32 |
| 99050 |
|
96 |
77 |
$476.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$101.46 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
24 |
$0.00 |