| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,216 |
5,655 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
1,472 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
144 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
458 |
446 |
$3K |
| 81002 |
|
132 |
128 |
$465.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$319.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$264.00 |
| 90686 |
|
18 |
17 |
$176.00 |
| 3078F |
|
245 |
238 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3008F |
|
332 |
323 |
$0.00 |