| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,860 |
1,471 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,503 |
1,228 |
$100K |
| 92552 |
|
793 |
729 |
$10K |
| 81000 |
|
801 |
718 |
$3K |
| 96127 |
|
281 |
226 |
$949.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
136 |
$725.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
167 |
152 |
$691.01 |
| 90686 |
|
69 |
68 |
$684.47 |
| 90674 |
|
12 |
12 |
$338.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
31 |
$260.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
26 |
25 |
$144.63 |
| 99406 |
|
219 |
192 |
$131.65 |
| 99051 |
|
27 |
27 |
$100.10 |
| 36415 |
Collection of venous blood by venipuncture |
598 |
532 |
$40.48 |
| 81003 |
|
14 |
13 |
$19.76 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
150 |
116 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
140 |
112 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
17 |
15 |
$0.00 |
| 99408 |
|
90 |
77 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
21 |
18 |
$0.00 |
| 99173 |
|
14 |
13 |
$0.00 |