| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
305 |
$11K |
| 99205 |
Prolong outpt/office vis |
122 |
121 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
357 |
332 |
$7K |
| 99497 |
|
104 |
102 |
$6K |
| 99498 |
|
61 |
60 |
$3K |
| 99385 |
|
13 |
13 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
120 |
115 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
110 |
93 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
51 |
$1K |
| 99406 |
|
99 |
98 |
$965.35 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$684.72 |
| 90674 |
|
23 |
23 |
$616.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$150.28 |