| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
526 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
60 |
$476.73 |
| 90688 |
|
19 |
17 |
$145.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
19 |
$78.55 |
| 96127 |
|
36 |
33 |
$0.05 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
62 |
56 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
118 |
109 |
$0.00 |