| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
721 |
701 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
833 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
103 |
103 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$836.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$660.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$435.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$413.91 |
| 90686 |
|
25 |
19 |
$81.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
414 |
413 |
$0.00 |